The skin of horses is a complex organ that serves multiple functions, including protection, thermoregulation, and sensory perception. It consists of several layers, primarily the epidermis and dermis, each contributing to the overall health and functionality of the skin. The epidermis provides a barrier against environmental factors, while the dermis supports the skin structure and houses blood vessels, nerves, and hair follicles. Equine skin is also involved in the production of sweat and sebum, which aid in temperature regulation and skin lubrication, respectively. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, and health conditions of equine skin, as well as advancements in dermatological treatments and care practices.
Meyer H.Skin diseases of the horse can be produced or enhanced through nutrient deficiency, intestinal formation of detrimental substances, photosensitizing compounds and by intake of allergenes. An exact case history regarding feeding is useful for evaluation of every skin abnormality.
Calderwood Mays MB, Mayhew IG, Woodard JC.Pigmented nevi have not been widely recognized in domesticated animals. We describe, for the first time, a giant congenital pigmented nevus in a horse. Because of a prominent neuroid component within the lesion, neurofibromatosis was the major differential diagnosis.
Power HT, Watrous BJ, de Lahunta A.In 6 horses, clinical signs of illness implicated a lesion involving the facial and vestibulocochlear nerves. One horse had signs of otitis externa. Five horses had radiographic changes primarily involving periosteal bony proliferation of the stylohyoid bone at its articulation with the temporal bone. Five horses improved with antibiotic therapy. Otitis media-interna was found at necropsy of one horse.
Devriese LA, Vlaminck K, Nuytten J, De Keersmaecker P.Staphylococcus hyicus (subspecies hyicus) was isolated as the only pathogenic organism from two independent cases of dermatitis of the lower parts of the limbs (grease heel) in horses. The organism was recovered together with other pathogenic staphylococci from similar conditions in two other horses of different origins. These conditions were characterised by epidermolysis, alopecia and crust formation. They responded quickly to antibiotic treatment. The organism was also isolated from a long standing case of "summer eczema" which healed without antibiotic treatment, and from a horse with derm...
Quinn PJ, Baker KP, Morrow AN.In a study of the skin reactivity of horses with lesions of sweet itch, six clinically normal horses and seven affected horses were challenged intradermally with extracts of Culicoides, Stomoxys, Tabanidae and Culex species. All the affected horses and three of the normal horses responded strongly to the culicoides extract. The skin reactions in the affected horses reached their maxima within 4 h in the majority of animals. Skin reactivity to culicoides was transferred to normal horses with serum from affected animals confirming that the reaction was an immediate hypersensitivity reaction. Thr...
Herd RP, Donham JC.Forty horses having microfilariae of Onchocerca cervicalis in association with dermatitis, alopecia, and pruritus on the ventral midline were given a single IM injection of 0.2 mg of ivermectin/kg of body weight (June to August 1981). Microfilarial counts in the 40 horses ranged from 18 to 42,446 microfilariae/skin snip on the day of treatment, and histopathologic examination of these skin sections indicated a chronic eosinophilic dermatitis. Numerous microfilariae were in the dermis, but there was no consistent relationship between the presence of microfilariae and the severity of the inflamm...
Matthews AG, Imlah P, McPherson EA.Fc specific anti-human IgE serum induced prolonged reversed cutaneous anaphylaxis (RCA)-like reactions in horse skin. Morphologically and histologically, these reactions resembled passively induced late cutaneous anaphylaxis responses in human skin, but differed from reversed passive Arthus responses induced in horse skin using anti-horse IgG serum. The induction of RCA-like responses in horse skin by anti-human IgE indicates shared Fc antigenic determinants on human IgE and a horse homocytotropic or reagin-like antibody.
Colton SW, Downing DT.Skin surface lipids from Equus caballus, E. przewalskii, E. asinus, E. grevyi, E. hemionus onager and a mule (E. asinus/E. caballus) were analyzed in detail. In all species the surface lipid mixtures consisted of giant-ring lactones, cholesterol, cholesteryl esters and minor amounts of wax diesters. In E. caballus, the lactone hydroxyacids were entirely branched chained, while in E. asinus and E. grevyi they were almost exclusively straight chained. In E. przewalskii, the onager and the mule there were both straight and branched chain hydroxyacid lactones. These results are in harmony with pub...
Lees MJ, Kleider N, Tuddenham TJ.Five horses were presented because of a dermatitis of the forehead. Unlike previous reports, ventral midline dermatitis was not the major problem, and was present in only two of five cases. All five horses responded to levamisole therapy at a daily dosage of 5.5 g for one week. Owners were cautioned that repeat therapy may be necessary.
Wertz PW, Colton SW, Downing DT.The acylglucosylceramides were isolated from the polar lipids of horse epidermis and examined to determine whether the component omega-hydroxyacids are straight chained as in the corresponding lipids from pig epidermis or branched as in horse sebum. The hydroxyacids from horse epidermis were found to be almost entirely straight chained compounds. The results indicate that sebaceous glands, although derived from epidermal cells, have evolved independent pathways of lipid metabolism.
Jenkinson DM, Nimmo MC, Jackson D, McQueen L, Elder HY, Mackay DA, Montgomery I.Lanthanum injected intradermally in vivo into the skin of cattle, sheep, goats and ponies penetrated the intercellular spaces of the sweat glands. It was not, however, detected in the glandular lumen either visually or by electron probe microanalysis even at elevated ambient temperatures when the animals were sweating. It is concluded that the luminal intercellular connections between epithelial cells in these glands are tight junctions, which remain so during sweating despite the occurrence of cell death and extrusion into the lumen.
Vonderfecht SL, Bowling AT, Cohen M.A congenital and probably hereditary neurological defect has been identified in the intestinal tract of six foals produced from the breeding of overo (a type of spotting pattern) horses. The foals had white hair and pink skin with the exception of occasional pigmented foci about the muzzle, ventral abdomen, and hindquarters. The foals appeared normal at birth, but within a few hours developed symptoms of colic. At necropsy, the only significant finding was a narrow, pale segment of large intestine. This abnormality either was confined to the small colon and rectum or involved the entire colon ...
Williams IF, Heaton A, McCullagh KG.The connective tissue composition and organisation of the "equine sarcoid" was compared with that of normal adult equine skin to determine whether the cells which produce their respective connective tissue matrices show similar biosynthetic characteristics. No major qualitative difference could be found between the collagen compositions of skin and sarcoid material, although the organisation into fibres of Type III collagen in the sarcoid was markedly greater than that of skin.
Kunkle GA, Greiner EC.An episode of dermatitis in 12 horses and many animal handlers in the Veterinary Medical Teaching Hospital of the University of Florida was attributed to the straw itch mite, Pyemotes tritici. The mite was found in abundance alfalfa hay that recently had been delivered to the hospital. Papules were the most common cutaneous lesions, and these developed on areas of the body to which the mites had easiest access. The clinical course was self-limiting, remitting when the hay supply was depleted.
Tuthill RJ, Clark WH, Levene A.A unique pigmented lesion, judged to be a hamartoma of neural crest origin, occurring in a female patient, is compared with equine melanotic disease, The characteristic perifollicular arrangement of pigment-laden spindle cells is remarkably similar in both. Previously described patch- and plaque-like blue nevi in humans are also closely related. Light and ultrastructural features showed differentiation toward both nevus cells and Schwann cells, and it is proposed that the lesion be termed pilar neurocristic hamartoma.
Miller RI, Campbell RS.A survey of granulomatous and neoplastic diseases of the skin of horses of tropical north Queensland was carried out during the period 1970-1980. Of 338 horses affected, 46.4% suffered from equine fibrosarcoma (sarcoid), 30.2% from phycomycosis, 7.4% from squamous cell carcinoma, 6.8% from other tumours, 4.7% from cutaneous habronemiasis and 4.4% from exuberant granulation tissue. Most specimens were submitted during the first half of the year after the wet monsoonal season and significantly more diseases originated during the first quarter. There was minor variations with breed, age and sex s...
Booth LC.Single or multiple split-thickness autogenous skin transplants were applied to 20 limb wounds of 17 horses. The surface area of the wounds ranged from 25 to 200 sq cm. Grafts 0.635-mm thick were collected by use of an electric dermatome and were expanded on a mesh dermatome. The expanded mesh grafts were applied to wounds on 3 horses 4 days after injury. For the other 14 horses, grafts were applied after a granulation tissue bed had formed. The grafts were secured to the recipient beds with sutures and a dressing composed of a foam pad and elastic adhesive tape or with the dressing alone. Furt...
Power HT, McEvoy EO, Manning TO.A 4-month-old foal was examined because of generalized exfoliative dermatitis, with thick scales, extensive crusting, and oozing of serum. A diagnosis of pemphigus foliaceus was made by histologic and immunopathologic examinations of skin biopsy specimens. The foal was treated with a gold compound, aurothioglucose (1 mg/kg once weekly for 14 weeks). For the initial 5 weeks, high-dose glucocorticoid treatments also was used. The skin disorder resolved entirely after 12 weeks of treatment.
Wilks CR, Barton MD, Allison JF.Immune responses to Rhodococcus equi were assayed in mares and foals on 7 studs in south-eastern Australia using skin test reactivity to the intradermal injection of culture filtrate and an indirect fluorescent antibody test. The prevalence of positive skin-test reactions did not differ between studs with a history of R. equi disease and those without but there were more mares with high antibody titres on studs with a disease history. A leucocyte extract prepared from mares that were skin-test positive was evaluated for its ability to protect foals exposed to experimental or natural challenge:...
Johnson KG, Creed KE.1. In intact horses, heat-induced sweating occurred initially as pulses, then as a continuous, synchronously fluctuating discharge. 2. I.V. adrenaline (Adr) induced sweating immediately; isoprenaline (Isop) elicited sweating after a delay; and phenylephrine (PhE) had no sudorific effect. 3. In isolated perfused skin, PhE induced an immediate small sweat discharge, Isop a slower sustained output and Adr a biphasic discharge. alpha- and beta-adrenergic antagonists blocked the first and second phases, respectively, of Adr-induced sweating. 4. The observed sweating patterns are consistent with ind...
Hashimoto Y, Reese S, Bragulla H, Budras KD.Carbohydrate moieties of cell membranes in the epidermis of equine skin and hoof were investigated using lectin-histochemistry. The loss of desmosomes during keratinization leads to a reduced lectin affinity. Lectin binding capacity of the intercellular matrix in the stratum corneum of the epidermis is weak compared to that of the intercellular kitt of the hoof. Qualitative differences in lectin binding of the intercellular kitt of different hoof segments correlate with the quality of the horn in the respective areas.
Harrison IW.Excisional biopsy of a skin lesion was performed in 4 horses after stretching the surrounding skin with mattress sutures. The technique of presuturing allowed all biopsy wounds to be closed without excessive tension on the suture lines.
Kremer H, Bartling B.The nasal vestibule of numerous horses is pigmented. In the ventral part of the nasal vestibule, this pigmentation is often disturbed resulting in a clearly depigmented area. As nasal discharge passes this area, our study aimed at the practical quantification of the depigmented area in the nasal vestibule of horses and the analysis of its relation to nasal discharge and other parameters.This study included 74 horses (59 warmblood horses, 15 ponies) with pigmented nasal vestibule. When a depigmentation was found to be present in the ventral part, this area was photographed and quantified by use...
Sloet van Oldruitenborgh-Oosterbaan MM.A Dutch Warmblood yearling stallion was referred for skin lesions, oedema and diarrhoea. At rectal palpation a cecocolonic intussusception was diagnosed, that might have been present for at least one week. A short literature review of cecocolonic intussusception is given.
Dahlborn K, Jansson A, Nyman S, Morgan K, Holm L, Ridderstråle Y.The aim of this investigation was to study sweat production during exercise at 2 ambient temperatures (20 degrees C and 35 degrees C) and the concurrent localisation of carbonic anhydrase (CA) in the sweat gland. Horses develop alkalosis during prolonged exercise and the sweat contains HCO3-. Carbonic anhydrase is therefore of interest since it catalyses the reaction CO2 + H2OHCO3- + H+. Four standardbred trotters performed an exercise test. Skin biopsies were taken from the neck, and sweat rate, blood and skin temperatures were measured. There was a close relationship between sweat rate, temp...
Liggett AD, Weiss R, Blue JL.Myospherulosis was diagnosed in a mature pony. Several parent bodies containing many spherules were observed microscopically in biopsy material from an area of cellulitis. The spherules are altered red blood cells that form as the result of prolonged contact with necrotic fat or petrolatum-based ointments. These structures must be differentiated from fungal elements. The recommended treatment is surgical excision.
Slovis NM, Watson JL, Affolter VK, Stannard AA.Three horses were presented with a history of having developed raised cutaneous nodules, within 24-48 hours, in areas of previous injections using standard silicone-coated hypodermic needles. Skin biopsies were taken from a selected cutaneous nodule from all horses for histopathologic evaluation. Histologically, the nodules were consistent with a diagnosis of equine eosinophilic granuloma. A hypersensitivity reaction to the silicone, or another component of the coating formulation, was hypothesized to be responsible for these lesions. Two horses were experimentally injected using both coated a...
Ihrke PJ, Wong A, Stannard AA, Vivrette SL.The fungal flora of the hair and underlying skin from 2 sites was examined qualitatively in 20 horses free of skin or ocular disease. Fungi were isolated from both the hair and the underlying skin of all 20 horses. Twenty-two genera regarded commonly as saprophytes were identified and an additional 2 fungi resembled the perfect state of the cutaneous pathogenic genera Microsporum and Trichophyton. Cladosporium spp, Penicillium spp, and Rhizopus spp were the most frequently isolated saprophytes. In general, similar fungi were isolated from the hair and underlying skin, and differences were not ...
Patterson Rosa L, Troop TW, Martin K, Vierra M, Foster G, Lundquist E, Brooks SA, Lafayette C.Hereditary Equine Regional Dermal Asthenia (HERDA) is an autosomal recessive condition present in the American Quarter Horse and other related breeds. Resulting from a mutation in the peptidyl-prolyl cis-trans isomerase B (PPIB) gene, HERDA is homologous to Ehlers-Danlos syndrome in humans. Characterized by fragile, hyperelastic, skin, HERDA affected horses often present first with slow-healing wounds usually on the dorsum, and resulting in atrophic scars, seromas, and ulcers. As there is no treatment for the condition affected horses are typically reported to be unrideable, and if persisten...
Fennell C.Skin scrapings from clinical cases of equine skin disorder were examined by culture to determine the micro-organisms involved. In-vitro and in-vivo studies were then made to determine the efficacy of Trichloro-carbanilide as a topical treatment for these cases. The laboratory findings and results of treatment are described, and the value of Trichlorocarbanilide in cases of bacterial, actinomycete and fungal infection assessed.
Watanabe R, Furuta H, Ueno Y, Nukada T, Niwa H, Shinyashiki N, Kano R.Trichophyton bullosum is a zoophilic dermatophyte that has been rarely isolated from horses and humans in Africa and Europe. This is the first reported isolation of T. bullosum from a horse with dermatophytosis in Japan. The isolate from a skin lesion formed a cream-colored and waxy colony that was slightly elevated in the center. Sequencing of the internal transcribe spacer region of the isolate revealed that it was 100% identical to that of T. bullosum.
Francqueville M, Sabbah A.Chronic urticaria in otherwise healthy sport horses, generally has an origin in a food allergy, accompanied by a facultative latent enteritis. Etiological diagnosis may be made by skin tests that permit a following targeted avoidance.
Sloet van Oldruitenborgh-Oosterbaan MM, Grinwis GC.Equine sarcoidosis seems to be an emerging problem. As more horses are referred for dermatologic disease, equine sarcoidosis should be considered in any case of exfoliative and/or nodular skin disease with or without systemic involvement, including generalized granulomatous disease affecting most internal organs. Multiple breeds are affected with mares being predisposed. Affected horses are typically 3 years or older. The prognosis for generalized granulomatous disease is generally poor, whereas the prognosis for the localized cutaneous form is favorable but may require lifelong treatment.
Woods PR.Skin lesions can be associated with many internal diseases. Most organ systems seem to have conditions in which skin lesions can develop. Treatment of the skin lesions in such a situation is palliative. The underlying internal disease must be addressed for resolution of the skin lesions to occur. It is important to view the skin as an integral communicating part of the body and not just as the skin.
Johnstone AC.Congenital vascular tumours in the skin of the legs of two horses showed histological features at biopsy which were consistent with capillary haemangioma but, at necropsy, one tumour had invaded the superficial digital flexor tendon and was therefore classified as a haemangiosarcoma.
Williams LA.Many skin disorders in horses share the same appearance-hair loss of various degrees, itchiness, lesions that may or may not be painful to the touch, oozing sores, or skin that is reddened, crusty, scaly, flaky, thickened or swollen- making diagnosis sometimes difficult. A horse owner's documentation of a horse's medical history, the history of the skin disorder, and the horse's environment assists veterinarians and compounding pharmacists in their diagnosis and treatment. This article discusses some of the common skin problems that affect horses, takes a look at causes, and provides a case re...
Hallebeek AJ, Sloet van Oldruitenborgh-Oosterbaan MM.Small bumps or swellings of about 0.5 mm in diameter in the skin of horses are called 'haverbultjes' in the Netherlands. Comparable skin diseases described in the literature are 'sweet feed-, protein- and heat bumps'. The differential diagnosis and the possible nutritional causes of 'haverbultjes' are presented.
Psalla D, Rüfenacht S, Stoffel MH, Chiers K, Gaschen V, Doherr MG, Gerber V, Welle MM.Equine pastern vasculitis is clinically challenging and the underlying aetiopathogenesis is unclear. The aims of this retrospective study were to establish histopathological criteria for pastern vasculitis, to look for an underlying cause, to investigate whether the histopathological lesions are associated with a distinct clinical picture, to assess if and how the clinical picture varies, and to determine the treatment response. Skin biopsies and clinical data from 20 horses with a diagnosis of vasculitis of the distal extremities were investigated and histology was compared to biopsies from h...
Kunkle GA, Greiner EC.An episode of dermatitis in 12 horses and many animal handlers in the Veterinary Medical Teaching Hospital of the University of Florida was attributed to the straw itch mite, Pyemotes tritici. The mite was found in abundance alfalfa hay that recently had been delivered to the hospital. Papules were the most common cutaneous lesions, and these developed on areas of the body to which the mites had easiest access. The clinical course was self-limiting, remitting when the hay supply was depleted.
Wohlsein P, Harps O, Trautwein G.The clinical history, clinical, pathological and immunohistological findings of a four-month-old foal with generalised pemphigus foliaceus are presented. The typical lesions of this autoimmune skin disease are described and discussed.
Paterson S.Three horses with superficial ulcerative squamous cell carcinoma were successfully treated with topical 5-fluorouracil. Two of them remain in remission after a single course of treatment and the third case is controlled by the application of the cream for seven days every six weeks. No systemic side-effects were observed but there was a localised inflammatory reaction in the skin in each case.
Rutgers HC, Stibbe S, van den Ingh TS, Breukink HJ.The case of a 16-year-old mare with multiple dermal lymphosarcoma of the histiolymphocytic type is described. Leukaemic changes were not found to be present in the superficial and internal lymph nodes or in the visceral organs.
This section includes clinical conditions which have unique characteristics which make them unsuitable for inclusion in the first six sections. The clinical description, aetiology and histopathologic findings of the unusual ear lesion, aural plaques, are described. Dermatoses complicated by, or caused by, photosensitivity are discussed in regards to their aetiology and pathogenesis as well as clinical features. The suggestion that photosensitization plays a role in the development of the lesions seen in pastern leukocytoclastic vasculitis is made. This section ends with an in depth discussion ...
Jabara AG, Hazard GH, O'Shea JD.This paper describes a case of a congenital vascular malformation in the skin of a colt. The lesion arose at the coronary border of the right hind leg. The microscopic structure of a biopsy suggested that the lesion, consisting of multiple foci of closely-packed convoluted small vessels in the dermis, represented a marked exaggeration of glomi which normally occur in considerable numbers in this region of the skin. On the basis of the clinical, macroscopic and histological findings, this lesion was considered to be an hamartoma, rather than a true tumour, and was therefore termed a congenital ...
Hilbe M, Meier D, Feige K.This article describes an eleven year old mare with apathy, fever, enlarged mandibular lymph nodes, skin lesions on the upper lip and edematous, grey-red mucous membranes in the nose, mouth and vulva. Histopathology revealed infiltrates with atypical lymphocytes forming Pautrier's microabscesses. The neoplastic cells had large, often indented nuclei. Immunohistology showed that some cells were CD3-positive (Pan T-cell-marker). The diagnosis of cutaneous epitheliotropic malignant lymphoma (Mycosis fungoides) was made. The etiology in the horse is unknown.
Schmidt GM, Coley SC, Leid RW.A histopathological study of ventral midline skin from midwestern U.S. horses with and without onchocerciasis due to Onchocerca cervicalis found perivascular mononuclear dermatitis as the most consistent difference between the two groups. Seasonal variation in parasite numbers or cellular influxes was not observed. Eosinophilic dermatitis was observed in horses with onchocerciasis and dermatitides of unknown etiology.
