Pathology in horses involves the study of diseases and abnormalities affecting equine health, encompassing a range of conditions that can impact various systems within the horse's body. This field examines the causes, mechanisms, and effects of diseases, as well as the structural and functional changes they induce in equine tissues and organs. Common pathological conditions in horses include laminitis, colic, equine infectious anemia, and respiratory disorders. Understanding these diseases involves evaluating clinical signs, diagnostic methods, and treatment options. This page compiles peer-reviewed research studies and scholarly articles that explore the etiology, pathogenesis, and clinical implications of pathological conditions in horses.
Crevier-Denoix N, Collobert C, Sanaa M, Bernard N, Joly C, Pourcelot P, Geiger D, Bortolussi C, Bousseau B, Denoix JM.To assess histologic variations of the equine superficial digital flexor tendon (SDFT) according to site and to horse age and activity, and to correlate these data with reported segmental mechanical results. Methods: Superficial digital flexor tendons isolated from 42 horses 0.5 hour to 23 years old. Methods: 7 segments of each SDFT were delimited and submitted for conventional histologic examination. Each segment was examined and graded for fiber undulation, cellularity, number and size of interfascicular connective spaces (ICS), presence or absence of focal and diffuse chondroid metaplasia, ...
Borchers K, Wolfinger U, Ludwig H, Thein P, Baxi S, Field HJ, Slater JD.Two 18-month-old naturally reared ponies were used to investigate the pathogenicity of EHV-2. After dexamethasone treatment, pony 1 was inoculated intranasally with EHV-2 strain T16, which has been isolated from a foal with keratoconjunctivitis superficialis and pony 2 was similarly inoculated with strain LK4 which was originally isolated from a horse with upper respiratory tract disease. Following virus inoculation, pyrexia was not detected in either pony but both developed conjunctivitis, lymphadenopathy, and coughing. EHV-2 was detected in nasal mucus samples up to day 12 post infection (p....
Gerard MP, Healy LN, Bowman KF, Miller RT.Two months after colic surgery, subcutaneous masses were found on the ventral and lateral portions of the thorax of a 3-year-old Hanoverian-cross filly. Six months later, the filly was admitted for evaluation of severe lameness. Arthrocentesis of the tarsocrural joint yielded clotted sanguineous material; however, unusual multinucleated giant cells were seen. Radiography of the right tarsus revealed soft tissue opacity and degenerative joint disease. The filly was euthanatized to prevent further suffering. At necropsy, multiple soft-tissue masses were located throughout the fascial planes of t...
Gottschalk RD, Reyers F, van den Berg SS.The effects of a commercially available equine hyperimmune anti-endotoxin serum on synovial fluid parameters were evaluated in an induced synovitis model in normal horses. Four groups of 3 horses each received lipopolysaccharide (LPS) plus hyperimmune antiendotoxin (anti-LPS), LPS, anti-LPS, and Ringers lactate (control) respectively injected into the left intercarpal joint. Synovial fluid parameters were measured at 4, 8, 24 and 72 h. It was found that anti-LPS had no attenuating effect on the LPS and that it induced a synovitis almost equivalent to that induced by LPS alone. The introduction...
Schulman ML, Bolton LA.A sunflower-based feed supplement grossly contaminated with the seed of a Datura sp. resulted in severe signs of poisoning in 2 horses. One horse died peracutely of acute gastric dilatation and rupture following ingestion of the contaminated feed. The 2nd horse developed unresponsive paralytic ileus that led to euthanasia. Examination of the feed and gastrointestinal contents of both horses showed a high proportion of the characteristic Datura sp. seeds. The clinical signs and pathology in both cases were consistent with intoxication by the parasympatholytic alkaloid components of Datura sp.
Parente EJ, Martin BB, Tulleners EP.Many disorders of the upper respiratory tract which cause severe
respiratory compromise and poor performance have been
described in the equine athlete (Williams et al. 1990; Morris 1991;
King et al. 1994). Until recently, the diagnosis of upper respiratory
tract dysfunction was based on observations made during resting
endoscopic examination; and conclusions regarding the extent and
exact nature of the dysfunction during exercise were often
inaccurate. This report describes 2 horses presented to the George
D. Widener Hospital in which no significant abnormalities were
noted during res...
Wright IM, Kidd L, Thorp BH.Forelimb navicular bones and associated soft tissues were collected from 3 groups of horses and subjected to pathological examinations. The groups consisted of 38 horses with clinical navicular disease (ND) and 2 control groups, with no history of forelimb lameness, consisting of 25 age-matched mature horses (A-MC) and 9 immature horses (IC). Histological and histomorphometric studies were performed on tissue samples from 10 ND, 10 A-MC and 5 IC horses. Gross changes seen only in ND horses included: full thickness defects in the palmar surface fibrocartilage, palmar cortex erosion, medullary l...
Schumacher J, Yarbrough T, Pascoe J, Woods P, Meagher D, Honnas C.To examine the response of horses with progressive ethmoidal hematoma (PEH) to intralesional injection of 4% formaldehyde solution. Methods: Nasal passages of horses affected with PEH were examined endoscopically at different intervals to determine the effects of intralesional injection of formaldehyde solution. Methods: 21 horses with PEH. Methods: PEHs were injected transendoscopically with 4% formaldehyde solution. Horses were examined endoscopically and retreated at different intervals until the PEH was eliminated or was so small that reinjection was not possible. Results: Lesions diminish...
Monahan CM, Chapman MR, Taylor HW, French DD, Klei TR.Eighteen mixed-breed, naturally infected ponies ranging in age from 1 to 16 yr and four cyathostome-naïve ponies reared and maintained under parasite-free conditions ranging in age from 1 to 4 yr were used in this study. Naturally-infected ponies were treated with 1 dose of ivermectin (IVM) at 200 micrograms kg-1, followed by a 5-day regimen of oxibendazole (OBZ) at 20 mg kg-1 to remove existing cyathostome burdens; cyathostome-naïve control ponies were treated with IVM alone. The naturally infected ponies were matched on age and gender, then randomly assigned to one of three treatment group...
Kuwamura M, Shirota A, Yamate J, Kotani T, Ohashi F, Sakuma S.A thyroid gland tumor, showing unusual histology, was identified in a 13-year-old male Andalusian horse. Microscopically, the tumor consisted of neoplastic proliferation of C-cell (parafollicular cell) with cytoplasmic fine granules, containing diffusely distributed, variously sized colloid-containing follicles. Immunohistochemically, the neoplastic C-cell were positive for calcitonin and follicleforming epithelial cells showed a positive reaction for thyroglobulin. Ultrastructurally, membrane-bound secretory granules up to 250 nm in diameter were found in the cytoplasm of the parafollicular c...
Kofler J, Kübber-Heiss A, Schilcher F.Clinical, ultrasonographic and pathological findings of a cutaneous, multilocular T-cell lymphosarcoma (malignant lymphoma) in a 13-year-old, brown Austrian warmblood mare are reported. The horse was under clinical observation, and the tumours were sonographically monitored over an 8 month period, revealing worsening of body condition, weight loss, lameness of the left hindlimb and a slight increase in the tumours size. Most of the tumours were covered by normal skin, one showed ulceration. Ultrasonography of the tumours allowed accurate anatomical localization in relation to the adjoining tis...
Rebhun WC, Del Piero F.To determine the most common ocular lesions in horses with lymphosarcoma. Methods: Retrospective study. Methods: 79 horses histologically confirmed to have lymphosarcoma. Methods: Ophthalmic examinations were performed by a single individual. Results: 21 of 79 horses had lesions involving the eye or ocular adnexa. Infiltration of the palpebral conjunctiva and eyelids was the most common lesion (n = 11). Other lesions included uveitis (n = 4), corneoscleral masses (2), third eyelid masses (2), and diffuse retrobulbar infiltrates (2). Conclusions: In horses with lymphosarcoma, ocular lesions may...
Hardy J, Bertone AL, Malemud CJ.To determine the functional response of synovium to infection, and the influence of infected synovium on articular cartilage metabolism. Methods: Synovium and articular cartilage explants from the midcarpal and tarsocrural joints of adult horses. Methods: For experiment 1, synovium explants were incubated as follows: control--incubation in standard medium, infected (I)--incubation with Staphylococcus aureus, and infected-filtered (IF)--incubation with medium collected from the infected group and filtered (0.22-micron filter). Daily collected medium was assayed for interleukin 1 beta (IL-1 beta...
Scholes SF, Holliman A, May PD, Holmes MA.Fell pony foals developed a syndrome of anaemia, immunodeficiency and peripheral ganglionopathy. They became ill in the second or third week, and died in the second or third month of life. Clinical and pathological investigations revealed severe anaemia associated with small numbers of late erythroid precursors in bone marrow, small thymi, an absence of secondary lymphoid follicles, a lack of plasma cells and neuronal chromatolysis involving trigeminal, cranial mesenteric and dorsal root ganglia. Some of the foals had cryptosporidial enteritis and adenoviral bronchopneumonia and pancreatitis. ...
Meana A, Luzon M, Corchero J, Gómez-Bautista M.Three coprological methods were tested to establish the reliability of in vivo diagnosis of Anoplocephala perfoliata. A total of 107 faecal samples were analyzed, and the presence of tapeworms were confirmed postmortem in 24 animals with burdens that ranged from 1 to 248 worms; most of them (71%) with less than 100 parasites. Best results were obtained with a combination of two sedimentation/flotation methods, detecting only half the parasitized animals (54% sensitivity). No relationship could be established between tapeworm burden and egg detection, but results indicate that coprological meth...
Williamson RM, Gasser RB, Middleton D, Beveridge I.The intestinal tracts of 130 horses were examined for infection with Anoplocephala perfoliata at necropsy. Fifty horses (38.5%) harboured the tapeworm, and the site of attachment of each worm was recorded using predetermined anatomical landmarks. The worms were attached in four regions of the gastrointestinal tract: 17% of the worms were found at the ileocaecal junction, 81% on the caecal wall, 1.7% in the terminal ileum and 0.2% in the ventral colon. The severity of lesions produced at the sites of attachment was related to the number of worms attached. Due to the small area of the ileocaecal...
Leifsson PS, Olsen SN, Larsen S.This paper is the first report of systemic tuberculosis involving the eyes in a horse. The animal lost condition and gradually became increasingly blind in both eyes; it was eventually euthanased. The pathological findings included bilateral, mycobacterial granulomatous uveitis with unilateral retinal detachment and necrosis, and disseminated, mycobacterial granulomatous foci in the myocardium, lungs, bronchial lymph nodes, kidneys, liver, pancreas, colon and visceral serosal surfaces, with the most extensive lesions in the myocardium. The mycobacteria were identified as Mycobacterium avium.
Higuchi T, Hashikura S, Hagiwara S, Gojo C, Inui T, Satoh S, Yoshida M, Fujii M, Hidaka D, Tsubaki S, Takai S.Although isolation of Rhodococcus equi from tracheobronchial aspirates is thought to be a definitive diagnosis of R. equi pneumonia in foals, virulence of isolates from the aspirates of infected foals remains obscure. In the present study, transtracheal aspirates were collected from thirty-one 1- to 6-month-old foals, which showed clinical signs of respiratory tract infection, and R. equi isolates were analyzed for the presence of virulence plasmids and virulence-associated antigens. Moreover, this method was compared with a serodiagnosis by an enzyme-linked immunosorbent assay (ELISA) to eval...
Latimer FG, Blackford JT, Valk N, Wan P, Patton S.To use gastrointestinal linear stapling instrumentation to perform a closed one-stage functional end-to-end jejunojejunostomy in adult horses as an alternative to a stapled side-to-side jejunojejunostomy. Methods: Clinical outcome, anatomic and histological architecture, and anastomotic dimensions were determined at 2, 4, 8, 16, and 24 weeks postoperatively. Methods: 18 adult horses. Methods: The anastomosis and peritoneal cavity were inspected for adhesions. The diameter and circumference of the anastomosis and jejunum oral and aboral to the anastomosis were determined from digitized contrast...
Duckett WM, Matthews HK.Paraneoplastic eosinophilia is reported in dogs, cats, and humans. Hypereosinophilia (an eosinophil count greater than 1.5 x 10(9) L) is often associated with metastasis and a poor prognosis. This report describes a case of paraneoplastic hypereosinophilia in a pony. Neoplasia should be included in the differential diagnoses in a horse with eosinophilia.
Clegg PD, Coughlan AR, Riggs CM, Carter SD.Matrix metalloproteinases (MMPs) may be important in the destruction of cartilage seen in equine osteoarthritis and may be detectable in synovial fluid. Synovial fluids were obtained from normal equine joints and from joints of horses with aseptic and septic joint diseases. The total MMP gelatinase enzyme activities were measured by gelatin zymography and image analysis of the gels. The bioactivity of gelatinase in synovial fluid was determined by a gelatin degradation ELISA. Potential MMP-2 & MMP-9 monomer enzyme activities were significantly elevated in both septic and aseptic joint dise...
Thomas HL, Livesey MA, Caswell JL.Multiple aneurysmal bone cysts (ABCs) are previously unreported in horses. An ABC was diagnosed in the left 3rd metacarpal of a Thoroughbred foal, which partially resolved following surgical curettage. A 2nd ABC developed in the left tibia, 7 wk postoperatively, and the foal was euthanized.
Johnston JK, Freeman DE.Displacements and intraluminal obstructions of the large colon carry a good to excellent prognosis for long-term recovery, and surgery for these diseases is rarely followed by short-term or long-term complications. Entrapment of the large colon over the renosplenic ligament is amenable to medical therapies so that surgery can be avoided in many cases. However, preoperative diagnosis of all nonstrangulating diseases of the large colon can be difficult. Vascular diseases of the large colon, such as thromboembolic diseases and large colon volvulus, are more difficult to treat and carry a poorer p...
Edwards GB.Diseases of the small colon are numerous and they can affect horses of any age. Diseases can be simple obstructions, nonstrangulating obstructions, strangulating obstructions, and congenital defects. American Miniature Horses appear prone to luminal obstruction with impacted intestinal contents, and some ischemic diseases are more common in postpartum mares. Enterotomy and enterectomy have a high success rate in the small colon, provided the affected portion can be exteriorized. The beginning and terminal portions of the small colon can be involved in many diseases and are not readily accessib...
Campbell-Beggs CL, Kiper ML, MacAllister C, Henry G, Roszel JF.Esophagoscopy allowed visualization and biopsy of a lesion within a diverticulum of the esophagus in an adult horse. Although the biopsy specimen obtained was small, diagnosis of squamous cell carcinoma was possible from histologic examination of the esophageal tissue sample retrieved by use of endoscopy.
Kiryu K, Kaneko M, Satoh H.Histopathololgical observations were performed on the heart and cardiac nervous system of 5 horses affected with wandering pacemaker. The histopathological lesions common to all the animals were as follows: (1) Focal fibrosis in the atrial myocardium just beneath the subendocardium and/or in the endo- and subendocardium, and existence of atrial Purkinje-like fibers within the fibrotic lesions, (2) Microvascular altetation, characterized by edematous-loosening and/or fibrous swelling of the walls of the small and minute arteries, in both the atria, (3) Edema in the intracadiac nerves of both th...
Brink P, Schumacher J.To report clinical signs and management of hypospadias in a horse. Methods: Clinical report. Methods: A 6-year-old, Friesian gelding. Methods: Partial phallectomy was performed to resolve contact dermatitis of the pelvic limbs and abnormal behavior during urination. Subsequent urethral meatal stenosis was treated by revision. Results: Hypospadias and chordee caused altered direction of urine flow, contact dermatitis of the pelvic limbs, and abnormal behavior. Partial phallectomy and subsequent revision after meatal stenosis resolved urine direction, flow and abnormal behavior. Conclusions: Abn...
Scotty NC, Ford M, Williams F, Loiacono C, Johnson PJ, Messer NT, Turnquist SE, Essman S.An 11-year-old Quarterhorse mare developed a paranasal sinus osteoma that extended into the right orbit and led to ipsilateral exophthalmia. Although the tumor was radiographically evident in the paranasal sinuses, ultrasonography was used to demonstrate extension of the tumor into the retrobulbar space, and endoscopy was used to identify its extension into the nasopharynx. Biopsies were obtained using both fine-needle aspiration and paranasal sinus trephination. Despite numerous antemortem diagnostic tests, only postmortem histologic analysis of the mass afforded the diagnosis of osteoma.
Bowie J, Mason PC, Oudemans G, Montgomery RH.Cysts found in the liver of a horse which had never been out of New Zealand were used to infect two dogs which were slaughtered 35 days after infection. Large numbers of Echinococcus granulosus were recovered. These cestodes were compared with mature dog-sheep cestodes, using light and scanning electron microscopy and identified as the dog-horse strain of E.granulosus.
Samol MA, Uzal FA, Blanchard PC, Arthur RM, Stover SM.The most prevalent causes of death in racehorses are musculoskeletal injuries, causing ~83% of deaths within the racing industry in California and elsewhere. The vast majority of these injuries have preexisting lesions that predispose to fatal injury. A 4-y-old Thoroughbred colt suffered an acute suspensory apparatus failure, including biaxial proximal sesamoid bone fractures of the right front fetlock, causing loss of support of the fetlock joint and consequent fall with fractures of the cervical and sacral spine. Cervical fracture caused spinal cord damage that resulted in sudden death. A pr...
Adams SB, Fessler JF, Thacker HL.FIBROMAS arise from connective tissue and occur in all domestic animals (Smith, Jones and Hunt 1972; Stannard and Pulley 1978). They are most frequently noted in the dermis or subcutis, but may be present wherever connective tissue occurs. In the dermis and subcutis of the horse fibromas are grossly similar to sarcoids and may be difficult to differentiate (Baker and Leyland 1975). Fibromas have been described as tumours of the tendon sheath or tendon proper in man (Flynn 1975), but have not been described in this location in the horse.
Morris E, Seeherman HJ, O'Callaghan MW, Schelling SH, Paradis MR, Steckel RS.The uptake of the bone-seeking radiopharmaceutical 99mTc-MDP by damaged skeletal muscle in horses is evaluated. Twenty-four hours following strenuous exercise, 109 racehorses with a history of inadequate athletic performance and subtle lameness were imaged using scintigraphic techniques. Ten horses (9.2 per cent) demonstrated abnormal uptake of the radioisotope within skeletal muscles. A muscle biopsy from one of these horses confirmed that the muscles with increased scintigraphic activity had histologic evidence of rhabdomyolysis. This technique allows localisation and relative quantification...
Loynachan AT, Williams NM, Freestone JF.A 5-day-old Thoroughbred foal was submitted to the necropsy service at the University of Kentucky Livestock Disease Diagnostic Center. The foal had a clinical history of seizure activity and severe icterus. A complete blood count and serum chemistry analysis indicated that the foal was anemic (hematocrit, 16%), hyperbilirubinemic (45 mg/dl), and hypoglycemic. At necropsy, all tissues were discolored various shades of yellow. Microscopically, there was degeneration and necrosis of cerebral neurons and cerebellar Purkinje cells; severe hepatocellular degeneration and necrosis; and deposition of ...
Kaup FJ, Deegen E.Gastrointestinal disorders and colic are common problems of
horses. In spite of its clinical importance, only a few reports
deal with the normal morphology of the equine intestinal barrier
(Roberts and Hill 1974). Furthermore, the intestinal epithelium
of horses presents some characteristics which are uncommon in
other species, e.g. the presence of conspicuous Paneth cells
(Meyer et al. 1970) or granular epithelial cells. Paneth cells
occur in the small intestinal crypts and sporadically in the caecum, while granular cells occur along the lining of the small
and large intestine in hors...
Twardock AR.It is well known that skeletal scintigraphy is an imaging modality with high sensitivity but low specificity. Sites of IRU provide good evidence of increased bone turnover but not its specific cause. Results of lameness workups, blocks, and other imaging techniques are required to determine specific causes. Overinterpretation of causes of IRU is tempting, especially in assigning diagnoses to EIBR--adaptive or non-adaptive. Nevertheless, a quarter of a century's experience with equine skeletal scintigraphy has shown that certain patterns and locations can be fairly predictive of certain patholo...
Pemberton AD, Hodgson JC, Gilmour JS, Doxey DL.Isolates were prepared from the sera of 12 horses with acute grass sickness, using methods reported to yield serum fractions associated with neurotoxicity, and their components identified by liquid chromatography and spectroscopy. All isolates were found to contain cortisol and six isolates also contained a degradation product of an analgesic drug, dipyrone. However, no recognised neurotoxin was detected.
Knottenbelt DC.Few skin diseases specifically or exclusively affect older horses and donkeys. Hypertrichosis (hirsutism) associated with pituitary pars intermedia dysfunction is probably the most recognized and best understood exception and is the most common age-related skin condition in equids. Many other conditions are known to be more serious in older horses. Horses affected with immune-compromising conditions can be more severely affected by infectious diseases of the skin or heavy and pathologically significant parasitism. Neoplasia of the skin is probably more prevalent and worse in older horses, alth...
Rissi DR, Avery AC, Burnett RC.T-cell-rich, large B-cell lymphoma (TCRLBCL) is the most commonly diagnosed type of lymphoma in horses. Here we describe the clinical signs, neuropathology, immunohistochemistry (IHC), and PCR for antigen receptor rearrangement (PARR) analysis results of a TCRLBCL in the brain of an 8-y-old male Quarter Horse that was euthanized after acute anorexia, tremors, head pressing, falling, blindness, incoordination, and seizures. Autopsy revealed a firm, smooth, pale-yellow mass that expanded both lateral ventricles and the adjacent subcortical white matter. Histologically, the mass consisted of a de...