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Topic:Veterinary Medicine

Veterinary medicine for horses encompasses the study and application of medical practices to diagnose, treat, and prevent diseases in equine species. This field involves a comprehensive understanding of equine anatomy, physiology, pathology, and pharmacology. Veterinary practitioners employ a range of diagnostic tools and therapeutic interventions to address health issues in horses, including lameness, gastrointestinal disorders, respiratory conditions, and infectious diseases. Preventative care, such as vaccination and deworming programs, is also a significant aspect of equine veterinary medicine. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of veterinary medicine as it pertains to horses, including advancements in diagnostic techniques, treatment protocols, and preventive health strategies.
Objective, Longitudinal Computed Tomographic Evaluation of the Metacarpal Condyles in Non-Lame Thoroughbred Racehorses.
Animals : an open access journal from MDPI    March 20, 2026   Volume 16, Issue 6 973 doi: 10.3390/ani16060973
Putnoki V, Pollard D, Dyson S, Boros K, Nagy A.There are limited data on sequential computed tomographic (CT) evaluation and objective CT assessment of the metacarpal condyles in Thoroughbred racehorses. This longitudinal study aimed to document changes in attenuation of the metacarpal condyles during the first two years of training and racing. Fan-beam CT examination of the metacarpophalangeal regions was performed on 40 non-lame Thoroughbred yearlings, and repeated four more times, approximately six months apart. Mean Hounsfield Unit (HU) measurements were obtained on sagittal reconstructions of the dorsal and palmar halves of the medial...
Clinical pregnancy outcomes after transfer of fresh and vitrified-warmed conventional IVF equine embryos.
Theriogenology    March 20, 2026   Volume 259 117911 doi: 10.1016/j.theriogenology.2026.117911
Souza MG, Mota Melo L, Martinez RE, Teague SR, Beck RL.In vitro fertilization (IVF) in horses has emerged as a valuable assisted reproductive technology, yet the impact of embryo cryopreservation on pregnancy outcomes when utilizing this technique remains unclear. This study reports pregnancy outcomes following transfer of conventional equine IVF embryos, with both fresh and vitrified-warmed embryos. Conventional IVF (cIVF) was used to produce 40 embryos, which were transferred to recipient mares, pregnancy diagnosis was performed at 6 days post-transfer followed by embryonic heartbeat detection between day 25 and 30 of gestation. Observed pregnan...
When Vibrio is not Vibrio: misidentified Aeromonas sp. associated with equine abortions and neonatal death, revealed by MALDI-TOF and 16S rRNA sequencing.
Journal of equine veterinary science    March 20, 2026   105861 doi: 10.1016/j.jevs.2026.105861
Sévin C, Duquesne F, Copin S, Raguenet V, Guy M, Wilhelm A, Gassilloud B, Moreau P, Petry S.A retrospective review of equine necropsies performed at the Normandy Laboratory for Animal Health, French Agency for food, environmental and occupational health and safety (1996-2022) unexpectedly reported Vibrio alginolyticus, Vibrio parahaemolyticus and Vibrio vulnificus in equine samples using API 20NE, prompting a re-evaluation of bacterial identification. Of 27 strains, 25 were cultivable, and re-examined using API 20NE, API 20E, MALDI-TOF, 16S rRNA gene sequencing and Vibrio-specific PCR assays. API 20NE confirmed the original (erroneous) identifications; all Vibrio-specific PCR assays ...
Air pollution exceedances routinely occur at Thoroughbred racetracks in the contiguous United States.
American journal of veterinary research    March 20, 2026   1-10 doi: 10.2460/ajvr.26.01.0003
Scott D, Kreitner K, Kim L, Seabaugh K, Duncan C, Magzamen S.To characterize spatiotemporal patterns of criteria air pollutants surrounding Thoroughbred racetracks in the US. Unassigned: We identified all active Thoroughbred racetracks from 2011 through 2024, linking their location with daily air quality data from the US Environmental Protection Agency (EPA) Air Quality System. Mean daily and annual pollutant concentrations within a 50-km bounding box of each racetrack were summarized using descriptive statistics and evaluated for monthly and annual trends. Exceedances were defined as any observation in which pollutant concentration met or exceeded the ...
Epidemiological study and risk factors of equine (Equus ferus caballus) gastrointestinal helminth infections in the north and northeast of Iran.
Parasite epidemiology and control    March 19, 2026   Volume 33 e00493 doi: 10.1016/j.parepi.2026.e00493
Faghihzadeh Gorji F, Sadr S, Borji H.Understanding the epidemiology of gastrointestinal (GI) helminth infections in equines is critical for investigating drug resistance patterns and developing effective strategies to control and prevent these infections. There is a lack of data regarding horse GI helminths and risk factors in the north and northeast of Iran. Hence, the present study aimed to identify GI helminths in horses in these regions and determine their risk factors. A total of 340 fecal specimens from horses of north ( = 141) and northeast ( = 199) Iran were coprologically examined for GI helminth infections. The poly...
Conditional Antioxidant Protection of Stallion Spermatozoa by Butylated Hydroxytoluene Under Induced Oxidative Stress.
Reproduction in domestic animals = Zuchthygiene    March 19, 2026   Volume 61, Issue 3 e70199 doi: 10.1111/rda.70199
de Araujo EAB, Papa FO, de Oliveira Baldini PH, de Paula Freitas-Dell'Aqua C, de Oliveira SN, Silva LFMC, Junior LRPA, Rodrigues LT, Monteiro GA.Despite advances in the method, equine semen cryopreservation still leads to a marked decline in sperm quality, partly attributed to oxidative stress, which motivates the search for lipophilic antioxidants capable of stabilizing the plasma membrane during cooling and freezing. This study performed three experiments to evaluate butylated hydroxytoluene (BHT) as an additive to commercial skim milk-based (Botu-Sêmen) and egg yolk-based (Botu-Crio) extenders. In Experiment 1, a dose-response curve (0.5, 1.0, and 1.5 mM) was performed using stallion semen to assess toxicity and establish a safe ...
Intra-articular hydrogel therapeutics exhibit anti-inflammatory effects on cytokine-stimulated equine cartilage and synovial membrane explants.
American journal of veterinary research    March 19, 2026   1-11 doi: 10.2460/ajvr.25.12.0454
Secor E, Thomas M, Chu E, Hazzard S, Raimondi S, Reesink H.To investigate whether IA hydrogel therapeutics alter the inflammatory and/or degradative responses of articular cartilage (AC) and synovial membrane (SM) to cytokine stimulation. Unassigned: AC and SM tissue explants were stimulated with interleukin-1β (IL-1β) or tumor necrosis factor-α (TNF-α) and simultaneously treated with triamcinolone acetonide, hyaluronic acid, collagen-elastin hydrogel microparticles (CEHM), or 2.5% polyacrylamide hydrogel (2.5% iPAAG) at 3 doses. Synovial membrane (n = 9 explants, 3 horses) was stimulated/treated for 18 hours, whereas AC (12 explants, 6 horses) wa...
Main causes of death in aged horses in a retirement facility in California can be attributed to the digestive and musculoskeletal systems.
American journal of veterinary research    March 19, 2026   1-8 doi: 10.2460/ajvr.25.12.0446
Sunderland KA, Affolter VK, Cassano JM, Berryhill EH, Morgan JM.To determine the main causes of death in aged horses residing at a retirement facility in California. Unassigned: A retrospective cross-sectional study design was utilized to evaluate signalment, medical history, and necropsy reports of horses aged 20 years or older at death and housed at a single retirement facility. All cases underwent a standard post mortem evaluation from 2010 through 2020 by the University of California-Davis William R. Pritchard Veterinary Medical Teaching Hospital. Euthanasia decisions were made by the retirement facility staff in consultation with a veterinarian. The m...
Tracheal wash culture is not associated with bronchial infection, remodelling or inflammation in horses with asthma.
Equine veterinary journal    March 17, 2026   doi: 10.1002/evj.70157
Leduc L, St-Jean G, Lavoie JP.Antimicrobials are commonly prescribed for the treatment of equine asthma, despite limited evidence supporting their use. Tracheal wash (TW) bacterial culture results are known to influence antimicrobial prescription decisions. Objective: To determine whether a positive TW bacterial culture in horses with asthma is associated with bronchial infection or colonisation, increased bronchial remodelling and airway inflammation by evaluating the presence of bacteria and airway remodelling in endobronchial biopsies, as well as bronchoalveolar lavage fluid (BALF) cytology and tracheal mucus scores. Me...
Synthesis and Characterization of Deuterated Detomidine for Use in Equine Medication Regulation.
Journal of labelled compounds & radiopharmaceuticals    March 17, 2026   Volume 69, Issue 3 e70023 doi: 10.1002/jlcr.70023
Holmes JC, Arojojoye AS, Awuah SG, Eisenberg R, Fenger CK, Maylin GA, Brewer K, Tobin T.Detomidine, 5-[(2,3-dimethylphenyl)methyl]-1H-imidazole, is a tranquilizer/sedative/analgesic widely used in equine medicine and regulated by several different analyte concentrations of detomidine and its hydroxydetomidine and carboxydetomidine metabolites in plasma and urine. Accurate regulatory quantitation of detomidine at low picogram/mL concentrations requires the availability of a stable isotope internal standard of detomidine; however, to the best of our knowledge, no certified deuterated internal standard of detomidine is commercially available and its synthesis has not been reported. ...
Novel application of a PMSG assay for measurement of circulating LH levels in horses.
Theriogenology    March 17, 2026   Volume 259 117906 doi: 10.1016/j.theriogenology.2026.117906
Thompson JR, Barcalow S, Stark A, Scoggin KE, Conley AJ, Loux SC.Luteinizing hormone (LH) plays a pivotal role in equine reproductive physiology, yet its measurement has traditionally relied on radioimmunoassays (RIA), which present safety, accessibility, and regulatory challenges. This study evaluates the use of a commercially available pregnant mare serum gonadotropin (PMSG) enzyme-linked immunosorbent assay (ELISA) as an alternative for quantifying circulating LH in horses. Given the 100% peptide identity between equine LH and PMSG, we hypothesized that the PMSG ELISA would detect LH with high specificity and sensitivity. Blood samples from healthy, cycl...
Multicentric Malignant Melanoma in a Grey Mare: A Case Report.
Journal of equine veterinary science    March 17, 2026   105848 doi: 10.1016/j.jevs.2026.105848
Stimpson S, Molloy E, Davis BW, Esparza B, Rosa LP, Illanes O.Grey coat color in horses, resulting from a 4.6 kb copy number variation (CNV) within the syntaxin 17 (STX17) gene (Grey locus), is linked to progressive hair depigmentation and a markedly increased risk of melanoma, likely to its function as a melanocyte-specific enhancer. Objective: This report details the clinical, pathological, and genomic findings of a 26-year-old flea-bitten grey mare with multiple melanocytic tumors, progressive dyspnea, and congestive heart failure. Due to the poor prognosis the horse was euthanized and submitted for necropsy to the Long Island University - Lewyt Colle...
Computer-Aided Diagnosis of Equine Temporomandibular Joint Osteoarthritis Using Machine Learning Integrating Computed Tomography Findings and Synovial Fluid Biomarkers.
Animals : an open access journal from MDPI    March 16, 2026   Volume 16, Issue 6 932 doi: 10.3390/ani16060932
Jasiński T, Borowska M, Juszczuk-Kubiak E, Turek B, Kaczorowski M, Bąk M, Żuk J, Domino M.Horses presenting with temporomandibular joint (TMJ) dysfunctions are often clinically evaluated for TMJ osteoarthritis (OA). Due to the unique characteristic of TMJ-related pain, the clinical diagnosis of equine TMJ OA is challenging; however, it may be supported by computer-aided tools incorporating biomarker data. This study aims to evaluate a machine learning-based approach to address a binary classification distinguishing healthy TMJs from TMJ OA. Among 50 equine cadaver heads, 82 TMJs were included and annotated as healthy or OA based on histological and computed tomography (CT) findings...
Equine models in translational medicine: A comparative approach to human health.
Animal models and experimental medicine    March 16, 2026   doi: 10.1002/ame2.70180
Boozarjomehri Amnieh S, Ropka-Molik K.The horse is a distinctive translational model for bridging mechanistic discovery and clinically relevant investigation because of its physiological complexity, long lifespan, athletic phenotype, and broad spectrum of naturally occurring conditions that parallel aspects of human health and disease. Its utility extends from musculoskeletal and joint research to immunology, metabolic disorders, and exercise physiology, particularly where naturally developed disease, clinically applicable imaging, and longitudinal sampling are required. Additionally, it offers opportunities to examine both chroni...
Postmortem characterization of cranial nuchal bursa and ligament in healthy horses reveals subclinical gross and histopathologic abnormalities.
American journal of veterinary research    March 16, 2026   1-9 doi: 10.2460/ajvr.25.12.0442
Sfraga H, Demeter EA, Pinn-Woodcock T, Guarino C, Young R, Cronk B, Cercone M.To investigate the presence of subclinical cranial nuchal bursitis and characterize its histopathologic features and association with Borrelia burgdorferi. Unassigned: This was a prospective descriptive cadaver study on a convenience population of horses in a B burgdorferi-endemic region (15 horses: 5 geldings and 10 mares of various breeds; 4 to 29 years old). Horses without history or clinical signs of cranial nuchal bursitis underwent euthanasia and tissue donation. Cranial nuchal bursa, synovial fluid, and nuchal ligament were collected postmortem. The bursa and ligament were evaluated via...
Trends in the prevalence of Gidoh at Japan Racing Association Training Centers in 2020.
Journal of equine science    March 14, 2026   Volume 37, Issue 1 21-26 doi: 10.1294/jes.37.21
Kuwano A, Kusano K, Mita H, Tamura N, Tokushige H, Iimori M, Kurimoto S, Kawabata M, Ueno M, Okada Y, Kamiya K, Tanaka K.Pathological hoof-wall cavities unrelated to nailing (so called "Gidoh" in Japan) often occur in the feet of horses. In 2001, in facilities managed by the Japan Racing Association (JRA), Gidoh was found to occur most frequently in the toe of the fore-hoof, with no gender predilection, and was more prevalent in older horses. However, it remains unclear whether this trend has continued in recent years, which pathological type of Gidoh predominates, and whether there are differences in prevalence among seasons. Therefore, in spring (April) and autumn (October) of 2020, we surveyed all racehorses ...
Changes in the Mare Oviduct Across Different Seasons Throughout the Year.
Veterinary medicine and science    March 14, 2026   Volume 12, Issue 2 e70753 doi: 10.1002/vms3.70753
González N, Varela A, de Blas N, Gil L.At present, oviductal pathologies and their influence on mare fertility have not been clearly determined. Checking changes throughout the year in the oviductal structure may be relevant to understand the influence on the appearance of problems in oviductal functionality and, thus, the impact on fertility, which is the objective of this work. The oviducts of 56 mares were examined. Their anatomy, permeability, oviductal cellularity and the presence of pathologies were assessed to establish the correlations between the time of the year and each of these parameters. We cannot conclude whether the...
Comparative study of dental age estimation methods against known chronological age in Nigerian local horses.
Journal of equine science    March 14, 2026   Volume 37, Issue 1 9-20 doi: 10.1294/jes.37.9
Akinniyi OO, Afolabi DO, Mshelia PW, Olakojo TA, Oyenekan IO, Adah O, Osunkoya D, Olaogun SC, Jeremiah OT, Omobowale TO.Dental age estimation in horses is very important in the context of quality healthcare, breeding programs, and welfare management. However, information on the most suitable dental age estimation methods for Nigerian local horses is not available in the literature. We evaluated and compared dental age estimates based on six dental age estimation methods with known chronological ages of Nigerian local horses to establish the most accurate techniques for this population. A cross-sectional study of 180 Nigerian local horses was conducted in Ibadan, Nigeria. Six dental age estimation methods (erupt...
Clinical nutrition in equine colic: a scoping review from an equine nutritionist’s perspective.
Journal of equine veterinary science    March 14, 2026   105852 doi: 10.1016/j.jevs.2026.105852
Danese T, Asti V, Ablondi M, Raspa F, Cavallini D, Valle E.Colic represents one of the leading causes of morbidity and mortality in equine medicine, with nutritional management recognized as a key modifiable factor influencing postoperative recovery. However, guiding principles for nutritional enteral support in horses after colic remain limited, and current practices are largely empirical. Objective: This scoping review aimed to (1) examine enteral nutritional support protocols reported in literature through a scoping review to map the available evidence on equine clinical nutrition in the context of colic, and (2) propose a physiology-based interpre...
Decoding moody mare syndrome: Retrospective study and tiered diagnostic framework.
Journal of equine veterinary science    March 14, 2026   Volume 160 105850 doi: 10.1016/j.jevs.2026.105850
Kareskoski AM.Behavioral issues, such as persistent or strong estrus, non-specific pain, and performance challenges in mares are frequently attributed to the estrous cycle. Objective: The objectives of this study were to analyze retrospective data on mares presented for estrus-related behavioral complaints, and to propose a structured diagnostic framework for categorizing cases during work-up at different levels of care. Methods: A retrospective study was conducted using patient records of a total of 14993 mares. Results: In this data set, behavioral problems, pain, or poor performance were not repeatably v...
Direct single-nucleotide polymorphism genotyping from whole blood without DNA extraction.
Journal of equine science    March 14, 2026   Volume 37, Issue 1 35-40 doi: 10.1294/jes.37.35
Furukawa R, Tozaki T, Kawate K, Kikuchi M, Ishige T, Fukui E, Kakoi H.A subset of single-nucleotide polymorphisms (SNPs) are associated with various phenotypes, including diseases, coat colour, and athletic performance, and are widely used in medical and veterinary fields. In this study, we developed a novel method for direct SNP genotyping from whole blood without DNA extraction. Thoroughbred blood samples were diluted 100-fold with Milli-Q water and analysed using real-time polymerase chain reaction (PCR) with hydrolysis probes. Specificity and sensitivity were improved by increasing the annealing temperature and number of PCR cycles. Genotyping results for SN...
Is there a difference in pressures and forces under the roller with different pads when lunging horses with the Pessoa training aid?
Journal of equine veterinary science    March 14, 2026   105855 doi: 10.1016/j.jevs.2026.105855
Loosley H, Rehbein LS, Lima EMM, Blake R.Elevated pressures beneath training rollers during the Pessoa training aid (PTA) use have been reported, particularly over the thoracic region, which may contribute to back discomfort. Objective: To investigate the effect of different pads on pressures and forces beneath a training roller during lunging with a PTA. Methods: Six clinically sound horses (13.8 ± 5.2 years) were lunged on a 16-m circle in trot and canter using a randomised crossover design under three conditions: no padding (Pad 1), a folded cotton saddle cloth (Pad 2), and a purpose-made roller foam pad (Pad 3). Kinetic data wer...
Detection of exercising ectopic atrial and ventricular beats using non-linear analysis of clinically normal racehorse electrocardiograms at rest or low-intensity exercise.
Scientific reports    March 13, 2026   doi: 10.1038/s41598-026-41281-0
Alexeenko V, Tavanaeimanesh H, Stein F, Gold J, Hughes L, McCue M, Marr C, Durward-Akhurst S, Jeevaratnam K.Cardiac arrhythmias are common in healthy athletic horses and may lead to poor athletic performance or exercise-associated sudden death. Early detection of high-risk horses is an important goal of cardiovascular diagnostics. We hypothesised that non-linear analysis of electrocardiogram disorderliness can be used to identify horses exhibiting intermittent ectopic atrial and ventricular heart rhythm abnormalities at exercise using brief, artifact-free recordings of normal sinus rhythm electrocardiograms collected at submaximal heart rates. In a convenience prospective cross-sectional study, ambu...
Orthoflavivirus-associated neurological disease in a UK horse.
The Veterinary record    March 13, 2026   Volume 198, Issue 6 e236 doi: 10.1002/vetr.70525
Cornelisse K, Ionescu AM.Keesjan Cornelisse and Andra-Maria Ionescu discuss the clinical presentation, investigation and diagnostic approach to a case of orthoflavivirus infection in a horse in south-west England.
Are antioxidants hindering stallion sperm capacitation? A perspective on hidden barriers to equine IVF success.
Reproduction, fertility, and development    March 13, 2026   Volume 38, Issue 5 RD26009 doi: 10.1071/RD26009
Medica AJ, Gibb Z, Ortiz-Rodriguez JM, Swegen A.Heavy use of antioxidants in equine in vitro fertilisation (IVF) media may suppress the reactive oxygen species (ROS) signals stallion sperm need for capacitation, which depends on high mitochondrial activity and a well-maintained endogenous redox homeostasis. A species-specific approach balancing oxidative protection with controlled ROS signalling could improve fertilisation efficiency and reduce prolonged incubation times.
Plasmidial virulence of Rhodococcus equi and its implications of livestock infections for human health: a possible foodborne pathogen?
Revista do Instituto de Medicina Tropical de Sao Paulo    March 13, 2026   Volume 68 e23 doi: 10.1590/S1678-9946202668023
Ribeiro MG, Barbosa AN, Pereira JG, Possebon FS, Pinto JPAN, Portilho FVR, Bello TS, Paz PJL, Arabe Filho MF, Panegossi LC, Reznik AU, Zeferino LO....Rhodococcus equi, a versatile and adapted opportunistic in nature bacterium, infects animals and humans. This soil-borne microorganism widely occurs in farms. Its dissemination occurs by feces from domestic animals (particularly horses, cattle, and pigs). In the last decades, bacterial virulence has been strongly attributed to plasmid-encoded virulence-associated proteins (VAPs). To date, three virulence plasmid types have been recognized: pVAPA, pVAPB, and pVAPN, which are considered host- or livestock-adapted. The pVAPA type is related to equine isolates (horse-type), the pVAPB type is assoc...
Comparison of Ultrasonography, Contrast Radiographic Tenography, Cone-Beam Computed Tomographic Tenography, and Tenoscopy for Lesion Detection Within the Digital Flexor Tendon Sheath of Horses-A Prospective Clinical Trial.
Veterinary sciences    March 13, 2026   Volume 13, Issue 3 268 doi: 10.3390/vetsci13030268
Sapper CB, Koch C, Schweizer D, Cunha Silva L, Pauwels FE, Klopfenstein MD, de Preux M, Van der Vekens E.Lesions of the tendons and manica flexoria (MF) within the digital flexor tendon sheath (DFTS) are a common cause for lameness in horses. This prospective study compared and quantified the agreement and disagreement of positive contrast computed tomographic tenography (CTT), positive contrast radiographic tenography (RXT), ultrasonography (US) and tenoscopy for diagnosing naturally occurring lesions within the DFTS, without application of a gold standard. Lesions affecting the deep (DDFT) and/or superficial digital flexor tendon (SDFT), and/or the MF and/or constriction of the palmar/plantar a...
Equine Protozoal Myeloencephalitis: An Ancient Parasite Meets Modern Compounding.
International journal of pharmaceutical compounding    March 13, 2026   Volume 30, Issue 1 23-25 
Bethel M.EPM remains particularly rampant in racing populations due to transport stress, young age, and congregate housing conditions. For compounding pharmacists, understanding that we're managing chronic parasite suppression - not achieving cure - fundamentally changes our approach to formulation strategy, stability assessment, and client counseling. The two formulations presented separately represent years of refinement, demonstrating compounding's essential role when commercial products fall short.
Decoding sebaceous gland functions and diseases: insights from domestic animals.
Veterinary research communications    March 13, 2026   Volume 50, Issue 3 197 doi: 10.1007/s11259-026-11128-0
Pfannkuche H, Maus J, Engel KM, Schiller J, Schneider MR.Skin sebaceous glands (SGs) synthesize and secrete sebum, a mixture of lipids and cellular debris that defends the external body surface against physicochemical challenges. Recent data define the SG as a dynamic entity with potential functions beyond skin protection, including immunomodulatory actions and the regulation of energy metabolism. We postulate that the SG also has important, unrecognized roles in physiological and pathological processes in domestic animals. Conversely, data derived from domestic animals may have translational relevance for humans. This review article summarizes SG s...
Differences in Redox Biomarkers in Bronchoalveolar Lavage Fluid of Leisure Horses With and Without Severe Equine Asthma: Preliminary Results.
Animals : an open access journal from MDPI    March 12, 2026   Volume 16, Issue 6 882 doi: 10.3390/ani16060882
Bindi F, Vitale V, Cingottini D, Pasquini A, Longini M, Tagliaferri G, Bonelli F, Nocera I, Sgorbini M.Equine asthma is a common chronic respiratory disease characterized by airway inflammation and oxidative imbalance, particularly in its severe form. The aim of this study was to evaluate pro-oxidative substances, oxidative products, and antioxidant defense biomarkers in bronchoalveolar lavage fluid (BALF) from horses with and without a history of severe equine asthma (SEA). This prospective observational study included 21 leisure horses classified as SEA or non-SEA based on clinical history and BALF cytology. Bronchoalveolar lavage fluid was analyzed for derivatives of reactive oxygen metaboli...