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Veterinary pathology2006; 43(1); 64-67; doi: 10.1354/vp.43-1-64

An unusual case of generalized soft-tissue mineralization in a suckling foal.

Abstract: An atypical case of severe soft-tissue mineralization in a 3-week-old foal from a herd of Andalusian horses is described. The herd clinical history and the laboratory findings were compatible with a diagnosis of secondary hyperparathyroidism due to a mineral imbalance in the diet (low calcium and high phosphorus intake). Mares showed a marked increase in serum parathyroid hormone (PTH) approximately 10 times normal levels. Serum PTH was marginally elevated in foals. Clinical signs (unthriftiness, painful joints, lameness in one or more limbs, and stiff gait) were more pronounced in foals than in mares. Two foals died and necropsy of one of them revealed extensive soft-tissue mineralization of arterial walls and pulmonary parenchyma. Clinical signs in mares and foals resolved by 4 weeks after diet adjustment.
Publication Date: 2006-01-13 PubMed ID: 16407490DOI: 10.1354/vp.43-1-64Google Scholar: Lookup
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Summary

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The research article describes an unusual case of soft-tissue mineralization in a young foal and its link to dietary mineral imbalance. This condition was manifested more significantly in foals than in mares and was resolved by diet adjustments.

Overview of the Research

  • This study focuses on an abnormal case of soft-tissue mineralization in a three-week-old foal from a herd of Andalusian horses. Soft tissue mineralization refers to the abnormal deposition of minerals in soft tissues, which should ideally be mineral-free.
  • The condition was observed to have been potentially caused by secondary hyperparathyroidism, a disorder where the parathyroid glands produce an excessive amount of the parathyroid hormone (PTH). In this case, the increase in PTH was attributed to a dietary mineral imbalance, specifically a low calcium and high phosphorus intake. The imbalance spurs the parathyroid gland to compensate by producing more parathyroid hormone, which in turn leads to abnormal mineralization in tissues.

Observations and Findings

  • In the observed herd, mares showed an increased PTH level that was approximately ten times the normal range. However, in foals, the elevation of serum PTH was only marginally above normal. This indicated that the condition was more pronounced in foals than in mares.
  • The clinical signs of this condition were more pronounced in the foals than in the mares, and they included unthriftiness (i.e., failure to grow or gain weight), painful joints, lameness in one or more limbs, and stiff gait. Unfortunately, the condition led to the death of two foals.
  • Necropsy of one of the deceased foals revealed extensive soft-tissue mineralization within the arterial walls and pulmonary parenchyma – the key organ responsible for transferring oxygen from the atmosphere into the bloodstream and releasing carbon dioxide from the bloodstream into the atmosphere.

Conclusion and Implications

  • The situation demonstrated the severe implications that abnormal mineralization can have on the health of horses, particularly young foals. It also emphasized the imperative need for appropriate dietary balance to ensure the health and longevity of the animals.
  • Another important aspect was the temporary nature of the condition when influenced by diet. Both mares and foals showed resolution of the clinical signs about 4 weeks after adjustments were made to their diet, making diet a key factor in both the cause and cure of this condition.

Cite This Article

APA
Estepa JC, Aguilera-Tejero E, Zafra R, Mayer-Valor R, Rodríguez M, Perez J. (2006). An unusual case of generalized soft-tissue mineralization in a suckling foal. Vet Pathol, 43(1), 64-67. https://doi.org/10.1354/vp.43-1-64

Publication

ISSN: 0300-9858
NlmUniqueID: 0312020
Country: United States
Language: English
Volume: 43
Issue: 1
Pages: 64-67

Researcher Affiliations

Estepa, J C
  • Department Anatomia y Anatomia Patologica Comparadas, Universidad de Córdoba, Campus de Rabanales, Ctra Madrid-Cadiz km 396, 14014 Córdoba, Spain. an1pearj@uco.es
Aguilera-Tejero, E
    Zafra, R
      Mayer-Valor, R
        Rodríguez, M
          Perez, J

            MeSH Terms

            • Animals
            • Blood Vessels / pathology
            • Calcinosis / etiology
            • Calcinosis / pathology
            • Calcinosis / veterinary
            • Calcium / blood
            • Diet
            • Food Analysis
            • Horse Diseases / pathology
            • Horses
            • Hyperparathyroidism, Secondary / etiology
            • Hyperparathyroidism, Secondary / pathology
            • Hyperparathyroidism, Secondary / veterinary
            • Hypocalcemia / complications
            • Hypocalcemia / pathology
            • Hypocalcemia / veterinary
            • Parathyroid Hormone / blood
            • Phosphorus / blood
            • Phosphorus Metabolism Disorders / complications
            • Phosphorus Metabolism Disorders / pathology
            • Phosphorus Metabolism Disorders / veterinary
            • Spain

            Citations

            This article has been cited 2 times.
            1. Lacitignola L, Luca P, Santovito R, Comite MSD, Crovace A. Nutritional secondary hyperparathyroidism in two ponies.. Open Vet J 2018;8(2):149-153.
              doi: 10.4314/ovj.v8i2.6pubmed: 29765869google scholar: lookup
            2. Tan JY, Valberg SJ, Sebastian MM, Davis GD, Kelly JR, Goehring LS, Harland MM, Kuebelbeck KL, Waldridge BM, Newton JC, Reimer JM. Suspected systemic calcinosis and calciphylaxis in 5 horses.. Can Vet J 2010 Sep;51(9):993-9.
              pubmed: 21119866