Renal health in horses encompasses the study of kidney function, disorders, and their management in equine species. The kidneys are vital organs responsible for filtering waste products from the blood, regulating fluid balance, and maintaining electrolyte levels. Renal disorders in horses can arise from various causes, including dehydration, toxins, infections, and congenital abnormalities. Common conditions affecting equine renal health include acute kidney injury and chronic kidney disease. Diagnostic methods often involve blood tests, urinalysis, and imaging techniques to assess kidney function and structure. This page gathers peer-reviewed research studies and scholarly articles that explore the physiology, pathology, and therapeutic approaches related to renal health in horses.
Mount ME, Feldman BF.Strychnine toxicosis is characterized by inducible tetanic seizures and metaldehyde poisoning by fine fasciculations progressing to generalized tremors and seizures. Intoxication with 1080 causes seizures, random running movements, vomiting, defecation, urination, acidosis and hyperglycemia. Intoxication with rodenticides causing coagulopathy is characterized by hemorrhage into body cavities but not necessarily external hemorrhage. Anticholinesterase insecticides cause salivation, urination and defecation, while chlorinated hydrocarbon insecticides cause CNS disturbances. Ethylene glycol intox...
Broughton Pipkin F, Ousey JC, Wallace CP, Rossdale PD.Plasma renin substrate concentration was measured in 18, four-day-old pony foals after the administration of the natriuretic agent frusemide. Thirteen foals had been delivered spontaneously; labour had been induced in the remaining five mares. Plasma aldosterone concentration was measured in 12 of the spontaneously delivered foals. Renin substrate concentration had risen sharply within 15 mins (P less than 0.005) and peaked at 1 h. The response was consistently greater in the induced foals. Serum sodium concentration fell rapidly in the induced foals (P less than 0.002 by 60 mins) but was bett...
Rebhun WC, Tennant BC, Dill SG, King JM.Renal toxicosis attributable to vitamin K3 (menadione sodium bisulfite) was suspected in 5 young adult horses in which acute renal failure developed following parenteral administration of vitamin K3 at the manufacturers' recommended dosages. Renal disease was subsequently induced experimentally in 5 of 6 horses by administration of vitamin K3 at manufacturers' recommended dosages. Signs of renal disease in the clinical patients as well as in the horses treated experimentally included renal colic, hematuria, azotemia, and electrolyte abnormalities consistent with acute renal failure. Two clinic...
Seanor JW, Byars TD, Boutcher JK.Renal dysfunction secondary to GI disorders may be relatively common in horses. Persistent dehydration of 8-10% of body weight can lead to prerenal azotemia, which may result in renal ischemia and renal disease if uncorrected. Dehydrated azotemic horses with a urine specific gravity less than 1.018 may have renal disease. Urine specific gravity readings greater than 1.025 usually indicate normal kidney function. A urine Na level less than 20 mEq/L and a urine/plasma creatinine ratio greater than or equal to 20:1 indicate prerenal problems. Use of nephrotoxic drugs should be avoided in septicem...
Collins LG, Tyler DE.In a retrospective study of 269 horses that had been treated with phenylbutazone, horses receiving less than or equal to 8.8 mg/kg of body weight/day for less than or equal to 4 days or 2 to 4 mg/kg of body weight/day for up to 50 days remained clinically normal. Anorexia, depression, colic, hypoproteinemia, diarrhea, melena, weight loss, ventral edema, petechial hemorrhages of mucous membranes, oral and gastrointestinal tract erosions and ulcers, renal papillary necrosis, and death were among the complications seen in horses that had received greater than 8.8 mg/kg of body weight/day. In 2 ca...
Van Amstel SR, Huchzermeyer D, Reyers F.A case of primary renal cell carcinoma in a 16-year-old mare is reported. The main presenting signs of chronic weight loss and diarrhoea as well as the initial laboratory examination did not directly indicate renal involvement. Follow-up investigations were strongly suggestive of avain tuberculosis. Further laboratory investigation revealed neoplasia, which was confirmed at autopsy.
Thurmon JC, Steffey EP, Zinkl JG, Woliner M, Howland D.Xylazine given IV at doses of 0.5, 1.0, and 1.5 mg/kg to mares caused a significant (P less than 0.05) dose-related increase in serum glucose concentration and urine volume. Serum glucose concentrations as much as 150 mg/dl were recorded in mares after they were given the largest xylazine dose. The greatest urine volume, similar to changes in peak glucose concentration, always occurred during the first hour after dosing with xylazine and averaged 1.82, 3.93, and 5.68 ml/kg/hour after the 0.5-, 1.0-, and 1.5-mg/kg doses, respectively, were given. Urine osmolality and specific gravity were signi...
MacAllister CG.Toxic doses of phenylbutazone (10 mg/kg of body weight) were administered to 10 ponies once daily for 14 days. Clinical signs of toxicosis similar to those seen in other species included CNS depression, anorexia, oral ulcers, and soft feces. Six ponies died in 7 to 20 days; 1 pony was euthanatized during an acute abdominal crisis; and 3 ponies survived the study. At necropsy, the major lesions were oral and gastrointestinal ulcerations and renal changes.
Read WK.Thirty-five cases of renal medullary crest necrosis morphologically similar to the renal papillary necrosis of analgesic nephropathy as described in man and rats are reported in horses receiving maintenance dosages of phenylbutazone. The primary lesion is a well-demarcated focal medullary necrosis resulting in sequestration of fragments of the renal crest. Renal cortical lesions are considered secondary to the medullary necrosis and consist of segmental pallor as a result of tubular dilatation, filtrate retention, and interstitial edema. Ischemia in concert with phenylbutazone is suggested as ...
Gunson DE, Soma LR.Acute renal papillary necrosis occurred in five horses given normal therapeutic doses of phenylbutazone and deprived of water for 36 to 48 hours prior to euthanasia. Five horses given phenylbutazone alone and four horses subjected to water deprivation alone did not develop papillary necrosis. Urinalyses were normal prior to water deprivation, and also after water deprivation in the horses that did not receive phenylbutazone, but the water-deprived, phenylbutazone-treated horses had many red blood cells, transitional epithelial cells, and large numbers of oxalate crystals in their urine. Ulcera...
Riviere JE, Coppoc GL, Hinsman EJ, Carlton WW, Traver DS.Gentamicin pharmacokinetics and nephrotoxic potential were evaluated in twelve 2 to 3 month-old horses. Whereas recent evidence in our clinic indicated that young horses may be especially susceptible to gentamicin nephrotoxicity, young rabbits and rats are usually resistant. Gentamicin (4.5 mg/kg) was given by rapid intravenous injection. Serum gentamicin concentrations over a 13-hour period were fitted to an open, two-compartment, pharmacokinetic model. Subsequently, the same horses were divided into groups of 3 horses each. Each group received 0, 2.2, 4.4 or 8.8 mg gentamicin/kg, intramuscul...
MacKay RJ, French TW, Nguyen HT, Mayhew IG.The effects of large doses of phenylbutazone were evaluated in clinically normal horses. The drug was given to 4 groups of 2 horses each at the rate of 30 mg/kg of body weight, orally, or 30, 15, or 8 mg/kg IV daily for up to 2 weeks. All horses became anorectic and depressed after 2 to 4 phenylbutazone treatments, and the horses given 15 or 30 mg/kg died on or between days 4 and 7 of treatment. A decrease in total blood neutrophil count occurred in all horses, and was associated with toxic left shift in horses given the 2 larger dosage schedules. The horses also had progressive increases in s...
Braun JP, Benard P, Burgat V, Rico AG.In domestic animals, Gamma Glutamyl Transferase is mainly in the kidneys, the pancreas and the intestine; its liver activity is relatively high in cows, horses, sheep and goats and very low in dogs, cats and birds. The use of plasma reference values can help to interpret the variations of serum GGT mainly in hepatobiliary diseases of cattle, sheep, goats and cholestatic disorders of dogs. Urinary GGT is a good test of kidney toxic damage.
Lane VM, Merritt AM.In 4 healthy horses and 1 Welsh pony, fractional renal excretions of phosphorus (FEp) determined from 9 hourly time collections taken over a 24-hour period were compared to assess whether a single-sample collection would be an accurate indicator of the daily FEp. The mean FEp for each animal varied from 0.115% to 0.302%; the 2 animals with the highest values were significantly different (P less than 0.05) from the 3 with the lowest values. Individual variation within animals was not great, however, because it was calculated that the 24-hour FEp value could be found within +/- 0.087% of the sin...
Roberts MC, Seawright AA, Ng JC, Norman PD.Chronic mercuric chloride intoxication in an aged horse given 0.8 mg Hg/kg/day for 14 weeks was manifest by signs of progressive respiratory difficulty and renal disease. The effects were not self-limiting after mercury was withdrawn, and the animal was destroyed six weeks later. Renal function changes included heavy glycosuria, modest proteinuria, phosphaturia, reduced urine osmolality, gradually increasing urine production, reduced glomerular filtration rate, and terminally, azotemia. The condition bore similarities to the Fanconi syndrome in man. Urinary gamma-glutamyl transpeptidase, alkal...
Alexander F.The effect of ethacrynic acid, bumetanide, frusemide, spironolactone and anti-diuretic hormone (ADH) on the urinary and faecal excretion of water and electrolytes by ponies was studied. Ethacrynic acid, bumetanide, and frusemide given intravenously, increased urinary sodium excretion, and, excepting frusemide, decreased faecal sodium excretion. Given by stomach tube ethacrynic acid reduced urinary and faecal sodium. Bumetanide, given intravenously, spironolactone, frusemide and ADH increased urinary sodium and all except frusemide intravenously decreased faecal sodium regardless of route of ad...
Rumbaugh GE, Carlson GP, Harrold D.Total daily 24-hour urinary output was obtained from 11 healthy horses fed alfalfa hay with free access to salt during periods of high environmental temperatures. Daily urinary volume averaged 15.6 L, with mean specific gravity of 1.028, osmolality of 1,040 mOsm/kg, and urinary flow rate of 1.24 ml/kg/hr. Total 24-hour sample collections of urine were also obtained from horses held without access to feed or water for periods of 24, 48, and 72 hours during high environmental temperatures. Average urine production under these conditions was 6.3 L during the 1st day; 3.2 L, the 2nd day; and 3.0 L...
Arroyo LG, Vengust M, Dobson H, Viel L.A 10-day-old quarter horse colt was presented for signs of disorientation and inability to nurse. Hydronephrosis/hydroureters, with concomitant pyelonephritis and a severe electrolytes disturbance, were diagnosed. The clinical findings closely resembled those described for a syndrome of transient pseudohypoaldosteronism in human neonates. Un poulain Quarter horse âgé de 10 jours a été présenté pour des signes de désorientation et d’incapacité à se nourrir. Une hydronéphrose/hydrouretères avec pyélonéphrite concomitante et débalancement électrolytique sévère ont été diagno...
Ramirez S, Seahorn TL, Williams J.This report describes a renal ultrasonographic abnormality (medullary rim sign), which was identified in 2 separate cases of spontaneously occurring disease associated with chronic and acute overdosage of phenylbutazone therapy. In horses, medullary rim sign has only been documented in neonatal foals experimentally administered large doses of phenylbutazone.
Dyke TM, Hubbell JA, Grosenbaugh DA, Beard W, Mitten L, Sams RA, Hinchcliff KW.The pharmacokinetics of furosemide were investigated in anaesthetized horses with bilateral ureteral ligation (BUL) with (n = 5) or without (n = 5) premedication with phenylbutazone. Horses were administered an intravenous (i.v.) bolus dose of furosemide (1 mg/kg) approximately 60-90 min after BUL. Plasma samples collected up to 3 h after drug administration were analysed by a validated high performance liquid chromatography method. Median plasma clearance (CLp) of furosemide in anaesthetized horses with BUL was 1.4 mL/min/kg. Apparent steady state volume of distribution (Vd(ss)) ranged from 1...
Nieth J, Krohn J.Aim of the study was to describe the echotexture and dimensions of the kidneys including the renal pelvis in neonatal foals using transabdominal sonography. Methods: In the course of a preliminary examination, sonographic examinations of the kidneys of 10 dead newborn foals were performed in order to determine their localization, measurement parameters, and echotexture. In subsequent necropsies, the kidneys were measured and the obtained values were compared with the sonographic measurements. A high level of agreement between the both measurement values could be demonstrated. In the main exami...
Porcelli G, Marini-Bettolo GB, Croxatto HR, Di Jorio M.Kallikrein was purified from horse kidney by several steps of chromatographic procedure and by affinity chromatography on Sepharose-Concanavaline. Horse urinary kallikrein was previously purified by DE-32 hydroxylapatite and by Sephadex G-100 gel filtration. On the purified final sample of renal and urinary kallikrein the aminoacid composition and the gel electrophoretic molecular weight were determined. The ratio in micronMoles between each aminoacid residue of both hydrolyzed renal and urinary kallikrein of horse is about 1,00 +/- 0,30. Except for Pro, 1/2 Cys and basic aminoacid residues a ...
Roberts MC, Seawright AA, Ng JC.Phenylmercuric acetate (PMA) was administered orally to a horse over a period of 27 weeks (190 days) at a dose rate of 0.4 mg Hg/kg per day. The effects produced were consistent with those of chronic inorganic mercury intoxication. The clinical features included masseter muscle atrophy, difficulty in prehension and mastication, malodorous breath, reduced appetite and weight loss, and reflected significant pathological changes involving the buccal, mandibular and dental tissues. Renal dysfunction was evident terminally and there was degeration and necrosis of the proximal tubular epithelium. Ne...
Brück I, Hesselholt M.The results of clinical, ultrasonic, post mortem examinations and concrement analysis of a case with nephrolithiasis in a horse are described. Problems of diagnosis, etiology and occurrence of nephroliths in the horse are discussed.
Cantarelli C, Cribb NC, Delli-Rocili M, Brisson B, Zur Linden A, Caswell JL.Long-term assessment of nephrosplenic space (NSS) closure and comparisons with ultrasonography and rectal palpation are lacking. The objective was to evaluate NSS closure in 12 research horses 5 y following laparoscopic ablation, using a novel adhesion scoring system, and to assess whether rectal examination and ultrasonographic findings could predict adhesion adequacy. The NSS was examined rectal palpation and ultrasonography prior to surgery, and at 30 d and 5 y after surgery. Ultrasonographic measurements of the distances between the renal fascia and spleen were recorded. The NSS adhesions...
Schnobrich MR, Gordon DL, Scoggin CF, Bradecamp EA, Canisso IF.Urine pooling, as a persistent condition, is a cause of infertility in mares due to endometrial inflammation and sperm toxicity. Identification of urometra can be challenging in mares presenting with the condition intermittently, or when urine flows into the uterus but is undetectable in the vagina. Currently, there are no reported objective methods to confirm the clinical diagnosis of urine contamination in intrauterine-fluid accumulations. Since creatinine is present in high concentrations in urine and does not diffuse across cell membranes, creatinine concentration should be increased in ma...
Sloet van Oldruitenborgh-Oosterbaan MM, Kalsbeek HC.A 14-year-old Friesian breeding mare had strangury, depression, inappetence, neutrophilia and uraemia. Its urine had a low specific gravity and contained protein, blood cells and bacteria. Rectal examination showed that both kidneys and ureters were enlarged. Post mortem examination confirmed the diagnosis of pyelonephritis and revealed that small tumours in the vulva were probably the cause of the uropathy.
Mitchell KJ, Dowling BA, Hughes KJ, Dart AJ.A 2-day-old Warmblood colt foal was referred for evaluation of progressive abdominal distension and lethargy. Haemoperitoneum was diagnosed and a ventral midline laparotomy revealed capsular rupture, sub capsular haematoma and haemorrhage of the left kidney. Unilateral nephrectomy was performed and the foal recovered uneventfully, with no reported complications 1 year later.
Stover SM, Steffey EP, Dybdal NO, Franti CE.Five horses were anesthetized similarly by use of xylazine, guaifenesin, thiamylal sodium, and halothane in oxygen on 3 consecutive days, and minor surgical procedures were performed. For 1 to 10 days after the last anesthetic exposure, clinical, hematologic, and serum biochemical features were monitored, and after necropsy, histologic examination of major organ tissues was performed. Predominant hematologic changes from base-line values included leukocytosis (maximal at 27 hours, 10,500 +/- 1,750 cells/microliter), neutrophilia (maximal at 51 hours, 7,485 +/- 1,719 cells/microliter), and lymp...
Alexander F.Phenylbutazone administered in therapeutic doses to ponies decreased urinary sodium and chloride excretion. The volume and osmolality of the urine was unaffected as was potassium excretion. Faecal excretion of chloride decreased and that of potassium increased, while faecal sodium excretion was unaffected. Plasma pH, bicarbonate and total carbon dioxide decreased after phenylbutazone administration. Packed cell volume, plasma sodium, potassium, carbon dioxide tension and chloride were unchanged.
Anderson WI, Picut CA, Georgi ME.Heavy renal infection in a pony with Klosiella equi resulted in moderate diffuse tubular nephrosis and tubular rupture. Multifocal non-suppurative interstitial nephritis was associated with ruptured tubules. Ultrastructural examination of sporoblasts demonstrated both the presence of a bilaminated membrane encasing organisms and nuclear budding. Endogenous corticosteroid production probably led to the development of an immune-compromized state and subsequent extensive parasitic replication.
Bayly WM, Elfers RS, Liggitt HD, Brobst DF, Gavin PR, Reed SM.Acute renal failure was produced in 5 ponies which had received mercuric chloride (0.25 mg/kg) and potassium dichromate (3 mg/kg) intravenously each day for 5 days. Failure was due to acute nephrosis. This was indicated clinically by daily monitoring of the urine output, and B-mode ultrasonography of both kidneys after administering the fifth dose of the chemical agents. Euthanasia was performed after days 14, 9, 5, 8 and 5 respectively in each of the ponies, and the presence of renal disease confirmed by gross and microscopic post mortem examination. The nature of the kidney lesions observed ...
Davis JL, Kruger K, LaFevers DH, Barlow BM, Schirmer JM, Breuhaus BA.Angiotensin converting enzyme (ACE) inhibitors improve survival and quality of life in human patients and small animals with cardiovascular and renal disease. There is limited information regarding their effects in horses. Objective: The purpose of this study was to determine the pharmacokinetics of quinapril and its effects on ACE and renin in horses. Methods: Experimental study using healthy mature horses. Methods: Six healthy horses were administered quinapril at 120 mg i.v., 120 mg per os and 240 mg per os in a 3-way crossover design. Blood was collected for measurement of quinapril ...
Van Amstel SR, Huchzermeyer D, Reyers F.A case of primary renal cell carcinoma in a 16-year-old mare is reported. The main presenting signs of chronic weight loss and diarrhoea as well as the initial laboratory examination did not directly indicate renal involvement. Follow-up investigations were strongly suggestive of avain tuberculosis. Further laboratory investigation revealed neoplasia, which was confirmed at autopsy.
Buntain B, Greig WA, Thompson H.The clinical and pathological features of a case of chronic nephritis in a 17-year-old pony was described. Measurement of fluid intake and laboratory analysis of sequential blood and urine samples helped in establishing an accurate diagnosis. The case demonstrates that although chronic renal disease is not well documented in the horse it should nevertheless be considered in the differential diagnosis of conditions characterised by progressive loss of weight.
Cantor GH, Palmer GH, Fenwick BW.The concentrations of several post mortem aqueous humour chemical constituents were compared with ante mortem serum chemical values in the horse. Urea nitrogen and creatinine values in post mortem aqueous humour were good predictors of ante mortem serum values. Aqueous humour urea nitrogen increased only slightly and creatinine did not change significantly for up to 24 h after death. Formulae were derived for calculating estimated ante mortem serum urea nitrogen and creatinine from aqueous humour values obtained after death. These results from normal horses identify analytes that are accurate ...
Owen RA, Haywood S, Kelly DF.A four-year-old shire mare with haematuria, colic, terminal weight loss and an abdominal mass had a large unilateral renal adenocarcinoma. Clinical signs were monitored for 11 months. Increased serum copper concentrations were measured on two occasions. Hypercupraemia is discussed as a possible paraneoplastic change.
