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Veterinary sciences2023; 10(5); doi: 10.3390/vetsci10050347

Chronic Progressive Lymphedema in Belgian Draft Horses: Understanding and Managing a Challenging Disease.

Abstract: Chronic progressive lymphedema (CPL) in draft horses is characterized by increased dermal thickness and fibrosis, with the development of skinfolds and nodules, hyperkeratosis, and ulcerations on the distal limbs of affected horses. Secondary bacterial, fungal, or parasitic infections frequently complicate and aggravate the lesions, as well as the progression of this disease. CPL has a particularly high prevalence of up to 85.86% in the Belgian draft horse breed. Due to the disease's progressive and incurable nature, affected horses are often euthanized prematurely. The treatment options are solely symptomatic, aimed at improving the horse's quality of life. Despite the severity of this condition, many uncertainties about its etiology and pathogenesis still remain to date. The established scientific research on CPL is rather limited, although there is an urgent need for strategies to tackle this disease. This review summarizes the available knowledge, serving as a guideline for practitioners, and provides perspectives for future research programs.
Publication Date: 2023-05-12 PubMed ID: 37235431PubMed Central: PMC10222719DOI: 10.3390/vetsci10050347Google Scholar: Lookup
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  • Journal Article
  • Review

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The study is about the chronic progressive lymphedema (CPL), a painful and incurable disease afflicting Belgian draft horses, which is characterized by increased skin thickness and fibrosis, amongst others. The research seeks to shed light on the disease’s characteristics, the available treatment options, and outlines potential paths for future study.

Chronic Progressive Lymphedema in Belgian Draft Horses

  • The research centers on Chronic Progressive Lymphedema (CPL), a disease that predominantly affects Belgian draft horses. The disease is known for causing an increase in dermal thickness and fibrosis which leads to the development of skinfolds and nodules, hyperkeratosis (an increase in the skin’s keratin layer), and ulcerations on the lower limbs of the horses.
  • The disease can become more complicated and severe due to secondary infections from bacteria, fungi, or parasites which aggravate the lesions and speed up the progression of the disease.
  • Interestingly, the breed that seems to be most affected by this disease is the Belgian draft horse, with a prevalence rate of up to 85.86%, which is alarmingly high.

Treatment and Management of CPL

  • Due to the progressive and incurable nature of CPL, horses affected by it are often euthanized prematurely. This is done mostly because the condition negatively impacts the quality of life of these horses.
  • Current treatment options are focusing on managing the symptoms of the disease, mainly to improve the quality of life for the horse. The study does not provide specifics on these treatment options but suggests they are limited and purely symptomatic.

Research on CPL and Future Perspectives

  • The research piece clearly identifies that despite the severity and high prevalence of the disease, there is still much to learn. Numerous uncertainties remain around the causes (etiology) and the development (pathogenesis) of the disease.
  • Scientific research on CPL is limited, but as the research article suggests, there is an urgent need for it due to the damaging impact of the disease.
  • The researchers aim to provide a thorough review of the available knowledge on CPL, serving as a guideline for those treating it and raising points of interest for future research programs. The hope is that these research programs will ultimately lead to a breakthrough in preventing or curing CPL.

Cite This Article

APA
Brys M, Claerebout E, Chiers K. (2023). Chronic Progressive Lymphedema in Belgian Draft Horses: Understanding and Managing a Challenging Disease. Vet Sci, 10(5). https://doi.org/10.3390/vetsci10050347

Publication

ISSN: 2306-7381
NlmUniqueID: 101680127
Country: Switzerland
Language: English
Volume: 10
Issue: 5

Researcher Affiliations

Brys, Marieke
  • Laboratory of Veterinary Pathology, Department of Pathobiology, Pharmacology and Zoological Medicine, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium.
Claerebout, Edwin
  • Laboratory of Parasitology, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium.
Chiers, Koen
  • Laboratory of Veterinary Pathology, Department of Pathobiology, Pharmacology and Zoological Medicine, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium.

Conflict of Interest Statement

The authors declare no conflict of interest.

References

This article includes 96 references
  1. Schutzer E. Ein Beitrag zur Kenntnis der Dermatitis Chronica Verrucosa (Sogenannter Straubfuss). 1909.
  2. Gustine G. Die Sogenannte Warzenmauke des Pferdes “Dermatitis Chronica Verrucosa”.. 1910.
  3. Wussow W, Hartwig W. Die Zuchtverwendungsdauer der Beschäler des Landgestüt Kreuz und ihre Abgangsursachen. Tierzucht 1954;10:336–342.
  4. Ferraro G.L. Chronic progressive lymphedema in draft horses. J. Equine Vet. Sci. 2003;23:189–190.
    doi: 10.1053/jevs.2003.56google scholar: lookup
  5. Affolter V.K. Chronic Progressive Lymphedema in Draft Horses. Vet. Clin. N. Am. Equine Pract. 2013;29:589–605.
    doi: 10.1016/j.cveq.2013.08.007pubmed: 24267677google scholar: lookup
  6. De Cock H.E., Affolter V.K, Wisner E.R., Ferraro G.L., MacLachlan N.J. Progressive Swelling, Hyperkeratosis, and Fibrosis of Distal Limbs in Clydesdales, Shires, and Belgian Draft Horses, Suggestive of Primary Lymphedema. Lymphat. Res. Biol. 2003;1:191–199.
    doi: 10.1089/153968503768330238pubmed: 15624437google scholar: lookup
  7. De Cock H.E., Affolter V.K., Wisner E.R., Larson R.F., Ferraro G.L. Lymphoscintigraphy of draft horses with chronic progressive lymphedema. Equine Vet. J. 2006;38:148–151.
    doi: 10.2746/042516406776563297pubmed: 16536384google scholar: lookup
  8. De Keyser K. Clinical Assessment, Genetic Parameters and the Role of Elastin in Chronic Progressive Lymphedema in the Belgian Draft Horse. 2014.
  9. De Keyser K, Janssens S, Peeters L.M., Gasthuys F, Oosterlinck M, Buys N. Chronic progressive lymphedema in the Belgian draft horse in Belgium: Clinical phenotyping, prevalence and risk factor analysis. Vlaams Diergeneeskd. Tijdschr. 2014;83:119–124.
    doi: 10.21825/vdt.v83i3.16651google scholar: lookup
  10. François L. Conservation Genomics of Living Heritage Breeds. 2018.
  11. Mittmann E.H., Mömke S., Distl O. Whole-genome scan identifies quantitative trait loci for chronic pastern dermatitis in German draft horses. Mamm Genome 2010;21:95–103.
    doi: 10.1007/s00335-009-9244-zpubmed: 20039044google scholar: lookup
  12. De Keyser K, Janssens S, Peeters L.M., Foqué N, Gasthuys F, Oosterlinck M, Buys N. Genetic parameters for chronic progressive lymphedema in Belgian Draft Horses. J. Anim. Breed. Genet. 2014;131:522–528.
    doi: 10.1111/jbg.12087pubmed: 24641331google scholar: lookup
  13. Ferraro G.L. Pastern dermatitis in Shires and Clydesdales. J. Equine Vet. Sci. 2001;21:524–527.
  14. Powell H, Affolter V.K. Combined decongestive therapy including equine manual lymph drainage to assist management of chronic progressive lymphedema in draft horses. Equine Vet. Educ. 2012;24:81–89.
  15. Affolter V.K., Dalley B., Kass P.H., Brown E.A., Sonder C., Bannasch D.L. Chronic progressive lymphedema in Friesian horses: Suggestive phenotype of affected horses and genome-wide association study. Vet. Dermatol. 2020;31:234-e51.
    doi: 10.1111/vde.12831pubmed: 31908060google scholar: lookup
  16. Wallraf A., Hamann H., Deegen E., Ohnesorge B., Distl O. Analysis of the prevalence of pastern dermatitis in German Coldblood horse breeds. Berl. Munch. Tierarztl. Wochenschr. 2004;117:148–152.
    pubmed: 15046463
  17. De Cock H.E., Affolter V.K., Farver T.B., Van Brantegem L., Scheuch B., Ferraro G.L. Measurement of skin desmosine as an indicator of altered cutaneous elastin in draft horses with chronic progressive lymphedema. Lymphat. Res. Biol. 2006;4:67–72.
    doi: 10.1089/lrb.2006.4.67pubmed: 16808668google scholar: lookup
  18. Wallraf A. Populationsgenetische Untersuchung zum Aftreten von Mauke bei den deutschen Kaltblutpferderassen. 2003.
  19. Bonnissent C.R. Étiologie du Syndrome “Pattes à Jus” Chez le Baudet de Oitou et le Trait Mulassier Poitevin. 2012.
  20. Boerma S., Back W., Sloet van Oldruitenborgh-Oosterbaan M.M. The Friesian horse breed: A clinical challenge to the equine veterinarian?. Equine Vet. Educ. 2012;24:66–71.
  21. Lynch L.L., Mendez U., Waller A.B., Gillette A.A., Guillory R.J., Goldman J. Fibrosis worsens chronic lymphedema in rodent tissues. Am. J. Physiol.-Heart Circ. Physiol. 2015;308:H1229–H1236.
    doi: 10.1152/ajpheart.00527.2013pmc: PMC4436986pubmed: 25770241google scholar: lookup
  22. De Cock H.E., Van Brantegem L., Affolter V.K., Oosterlinck M., Ferraro G.L., Ducatelle R. Quantitative and qualitative evaluation of dermal elastin of draft horses with chronic progressive lymphedema. J. Comp. Pathol. 2009;140:132–139.
    doi: 10.1016/j.jcpa.2008.10.009pubmed: 19147156google scholar: lookup
  23. Van Brantegem L., de Cock H.E.V., Affolter V.K., Duchateau L., Hoogewijs M.K., Govaere J., Ferraro G.L., Ducatelle R. Antibodies to elastin peptides in sera of Belgian Draft horses with chronic progressive lymphedema. Equine Vet. J. 2007;39:418–421.
    doi: 10.2746/042516407X205888pubmed: 17910266google scholar: lookup
  24. Meyer W., Neurand K., Schwarz R., Bartels T., Althoff H. Arrangement of elastic fibres in the integument of domesticated mammals. Scanning Microsc. 1994;8:375–390.
    pubmed: 7701306
  25. Rockson S.G. The Lymphatics and the Inflammatory Response: Lessons Learned from Human Lymphedema. Lymphat. Res. Biol. 2013;11:117–120.
    doi: 10.1089/lrb.2013.1132pmc: PMC3780325pubmed: 24024576google scholar: lookup
  26. Pereira de Godoy J.M., Guerreiro Godoy M.F., Pereira de Godoy H.J., De Santi Neto D. Stimulation of Synthesis and Lysis of Extracellular Matrix Proteins in Fibrosis Associated with Lymphedema. Dermatopathology 2021;9:1–10.
  27. Grada A.A., Phillips T.J. Lymphedema: Pathophysiology and clinical manifestations. J. Am. Acad. Dermatol. 2017;77:1009–1020.
    doi: 10.1016/j.jaad.2017.03.022pubmed: 29132848google scholar: lookup
  28. Young A.E., Bower L.P., Affolter V.K., De Cock H.E., Ferraro G.L., Bannasch D.L. Evaluation of FOXC2 as a candidate gene for chronic progressive lymphedema in draft horses. Vet. J. 2007;174:397–399.
    doi: 10.1016/j.tvjl.2006.05.023pubmed: 16884936google scholar: lookup
  29. Geburek F., Deegen E., Hewicker-Trautwein M., Ohnesorge B. Verrucous pastern dermatitis syndrome in heavy draft horses. Part II: Clinical findings. Dtsch. Tierärztl. Wochenschr. 2005;112:243–251.
    pubmed: 16124697
  30. Mömke S., Distl O. Molecular genetic analysis of the ATP2A2 gene as candidate for chronic pastern dermatitis in German draft horses. J. Hered. 2007;98:267–271.
    doi: 10.1093/jhered/esm004pubmed: 17395600google scholar: lookup
  31. Mittmann E.H. Application of Horse Genomics to Identify Quantitative Trait Loci (QTL) for Chronic Pastern Dermatitis in German Draft Horses. 2009.
  32. Liao S., Von der Weid P.Y. Inflammation-induced lymphangiogenesis and lymphatic dysfunction. Angiogenesis 2014;17:325–334.
    doi: 10.1007/s10456-014-9416-7pmc: PMC3981917pubmed: 24449090google scholar: lookup
  33. Geburek F., Ohnesorge B., Deegen E., Doeleke R., Hewicker-Trautwein M. Alterations of epidermal proliferation and cytokeratin expression in skin biopsies from heavy draft horses with chronic pastern dermatitis. Vet. Dermatol. 2005;16:373–384.
  34. Lindgren G., Naboulsi R., Frey R., Solé M. Genetics of Skin Disease in Horses. Vet. Clin. North Am. Equine Pract. 2020;36:323–339.
    doi: 10.1016/j.cveq.2020.03.010pubmed: 32534850google scholar: lookup
  35. Nobles T., Miller R.A. Intertrigo. StatPearls [Internet] 2021.
  36. De Keyser K., Janssens S., Buys N. Chronic progressive lymphedema in draft horses. Equine Vet. J. 2014;47:260–266.
    doi: 10.1111/evj.12256pubmed: 24593274google scholar: lookup
  37. Moncrieff G., Cork M., Lawton S., Kokiet S., Daly C., Clark C. Use of emollients in dry-skin conditions: Consensus statement. Clin. Exp. Dermatol. 2013;38:231–238.
    doi: 10.1111/ced.12104pubmed: 23517354google scholar: lookup
  38. Johnsen H. Hyperkeratosis Chronic Progressive Lymphedema. 2021.
  39. Poore L.A.B., Else R.W., Licka T.L. The clinical presentation and surgical treatment of verrucous dermatitis lesions in a draft horse. Vet. Dermatol. 2012;23:71–75.
  40. Yu A.A. Equine Pastern Dermatitis. Vet. Clin. North Am.-Equine Pract. 2013;29:577–588.
    doi: 10.1016/j.cveq.2013.09.003pubmed: 24267676google scholar: lookup
  41. Johnsen H. Chronic Proliferative Pastern Dermatitis Chronic Progressive Lymphedema. 2021.
  42. Menzies-Gow N.J., Bond R., Patterson-Kane J.C., McGowan C.M. Coronary band dystrophy in two horses. Vet. Rec. 2002;150:665–668.
    doi: 10.1136/vr.150.21.665pubmed: 12054136google scholar: lookup
  43. Twitchell E.L., Hartman R.A., Waxman S.J., Lescun T.B., Miller M.A. Pathology in practice. Coronary band dystrophy with proliferative pododermatitis. J. Am. Vet. Med. Assoc. 2014;245:385–387.
    doi: 10.2460/javma.245.4.385pubmed: 25075820google scholar: lookup
  44. Jubb K.V.F., Kennedy P.C., Palmer N. Pathology of Domestic Animals. 5th ed. Volume 1. Integumentary System. 2016;pp. 553–554.
  45. Stannard A.A. Disorders of cornification. Vet. Dermatol. 2000;11:187–189.
  46. Nagamine C.M., Castro F., Buchanan B., Schumacher J., Craig L.E. Proliferative Pododermatitis (Canker) with Intralesional Spirochetes in Three Horses. J. Vet. Diagn. Investig. 2005;17:269–271.
    doi: 10.1177/104063870501700311pubmed: 15945386google scholar: lookup
  47. Brandt S., Schoster A., Tober R., Kainzbauer C., Burgstaller J.P., Haralambus R., Steinborn R., Hinterhofer C., Stanek C. Consistent detection of bovine papillomavirus in lesions, intact skin and peripheral blood mononuclear cells of horses affected by hoof canker. Equine Vet. J. 2011;43:202–209.
  48. Redding W.R., O’Grady S.E. Nonseptic Diseases Associated with the Hoof Complex. Vet. Clin. North Am. Equine Pract. 2012;28:407–421.
    doi: 10.1016/j.cveq.2012.06.006pubmed: 22981198google scholar: lookup
  49. Fürst A.E., Lische C.J. Chapter 90-Foot. In: Equine Surgery. 4th ed.. 2012;pp. 1264–1299.
  50. Geburek F. Zur Entstehung des Warzenmauke-Syndroms der Kaltblutpferde, klinische und histomorphologische Untersuchungen. 2002.
  51. Agneray S. Les pododermatites du cheval: Connaissances actuelles et étude rétrospective de cas de la Clinéquine du campus vétérinaire de Lyon. 2014.
  52. Adam E.N., Southwood L.L. Primary and secondary limb cellulitis in horses: 44 cases (2000–2006). J. Am. Vet. Med. Assoc. 2007;231:1696–1703.
    doi: 10.2460/javma.231.11.1696pubmed: 18052806google scholar: lookup
  53. Kano Y., Momose T. Acute lymphangitis. Clevel. Clin. J. Med. 2020;87:129–130.
    doi: 10.3949/ccjm.87a.19095pubmed: 32127433google scholar: lookup
  54. Oomen A.M., Moleman M., Van den Belt A.J.M., Brommer H. An atypical case of recurrent cellulitis/lymphangitis in a Dutch Warmblood horse treated by surgical intervention. Equine Vet. Educ. 2012;25:23–28.
  55. Wilson W.D. Rational selection for antimicrobial use in horses; Proceedings of the 47th AAEP Annual Convention. 2001;24–28 November; pp. 75–93.
  56. Braid H.R., Ireland J.L. A cross-sectional survey of the diagnosis and treatment of distal limb cellulitis in horses by veterinary surgeons in the United Kingdom. Equine Vet. Educ. 2021;34:e234–e244.
    doi: 10.1111/eve.13484google scholar: lookup
  57. Yuan Y., Arcucci V., Levy S.M., Achen M.G. Modulation of Immunity by Lymphatic Dysfunction in Lymphedema. Front. Immunol. 2019;10:76.
    doi: 10.3389/fimmu.2019.00076pmc: PMC6361763pubmed: 30761143google scholar: lookup
  58. Kaiser-Thom S., Hilty M., Axiak S., Gerber V. The skin microbiota in equine pastern dermatitis: A case-control study of horses in Switzerland. Vet. Dermatol. 2021;32:646.
    doi: 10.1111/vde.12955pmc: PMC9290916pubmed: 33830562google scholar: lookup
  59. Sangiorgio D.B., Hilty M., Kaiser-Thom S., Epper P.G., Ramseyer A., Overesch G., Gerber V. The influence of clinical severity and topical antimicrobial treatment on bacteriological culture and the microbiota of equine pastern dermatitis. Vet. Dermatol. 2021;32:173-e41.
    doi: 10.1111/vde.12912pmc: PMC8048527pubmed: 33417744google scholar: lookup
  60. Cafarchia C., Figueredo L.A., Otranto D. Fungal diseases of horses. Vet. Microbiol. 2013;167:215–234.
    doi: 10.1016/j.vetmic.2013.01.015pubmed: 23428378google scholar: lookup
  61. De Keyser K., Peeters L.M., Buys N., Janssens S. Assessment of skinfold thickness as a factor related to chronic progressive lymphedema in Belgian draft horses. Commun. Agric. Appl. Biol. Sci. 2010;76:189–192.
    pubmed: 21539228
  62. Sievers J., Distl O. Prevalence of Chronic Progressive Lymphedema in the Rhenish German Draft Horse. Animals 2023;13:999.
    doi: 10.3390/ani13060999pmc: PMC10044062pubmed: 36978540google scholar: lookup
  63. Verschooten F., Deprez P., Nollet H., van Loon G., Van Zeveren A., Devriese L., Vand Schandevijl K., Vandenberghe F., Delesalle C., De Clercq D.. De hengstenkeuring van het Belgische trekpaard. Vlaams Diergeneeskd. Tijdschr. 2003;72:224–232.
  64. Knottenbelt D.C. Pascoe’s Principles and Practice of Equine Dermatology. 2nd ed.. 2009;p. 502.
  65. Cremers H.J. The incidence of Chorioptes bovis (Acarina: Psoroptidae) on the feet of horses, sheep and goats in the Netherlands. Vet. Q. 1985;7:283–289.
    doi: 10.1080/01652176.1985.9694001pubmed: 4071949google scholar: lookup
  66. Rüfenacht S., Roosje P.J., Sager H., Doherr M.G., Straub R., Goldinger-Muller P., Gerber V. Combined moxidectin and environmental therapy do not eliminate Chorioptes bovis infestation in heavily feathered horses. Vet. Dermatol. 2011;22:17–23.
  67. Paterson S., Coumbe K. An open study to evaluate topical treatment of equine chorioptic mange with shampooing and lime sulphur solution. Vet. Dermatol. 2009;20:623–629.
  68. Suagee J.K., Bennett-Wimbush K., Splan R.K. Feeding Grass Hay Before Concentrate Mitigates the Effect of Grain-Based Concentrates on Postprandial Plasma Interleukin-1β. J. Equine Vet. Sci. 2020;86:102899.
    doi: 10.1016/j.jevs.2019.102899pubmed: 32067663google scholar: lookup
  69. Suagee J.K., Burk A., Quinn R.W., Hartsock T.G., Douglass L.W. Effects of diet and weight gain on circulating tumour necrosis factor-α concentrations in Thoroughbred geldings. J. Anim. Physiol. Anim. Nutr. 2011;95:161–170.
  70. Federici M., Gerber V., Doherr M.G., Klopfenstein S., Burger D. Association of skin problems with coat colour and white markings in three-year-old horses of the Franches-Montagnes breed. Schweiz Arch Tierheilkd. 2015;157:391–398.
    doi: 10.17236/sat00026pubmed: 26753358google scholar: lookup
  71. Colman J., De Keyser K. Het scoren van de beenkwaliteit bij het Belgisch trekpaard. Ledenblad K.M.B.T. 2010;84:40.
  72. Pugh D.G., Hu X.P., Bourke K.H. Control of chorioptic mange mites on horses, donkeys, and mules Alabama Cooperative Extension System, ANR-1444.2013.. 2013.
  73. Van Brantegem L., de Cock H.E.V., Affolter V.K., Duchateau L., Govaere J., Ferraro G.L., Ducatelle R. Antibodies to elastin peptides in sera of Warmblood horses at different ages. Equine Vet. J. 2007;39:414–416.
    doi: 10.2746/042516407X204573pubmed: 17910265google scholar: lookup
  74. De Keyser K., Berth M., Christensen N., Willaert S., Janssens S., Ducatelle R., Goddeeris B.M., De Cock H.E.V., Buys N. Assessment of plasma anti-elastin antibodies for use as a diagnostic aid for chronic progressive lymphedema in Belgian Draft Horses. Vet. Immunol. Immunopathol. 2015;163:16–22.
    doi: 10.1016/j.vetimm.2014.11.004pubmed: 25500056google scholar: lookup
  75. Gloor M., Fluhr J., Wasik B., Gehring W.J. Clinical effect of salicylic acid and high dose urea applied according to the standardized New German Formulary. Die Pharm. 2001;56:810–814.
    pubmed: 11683130
  76. Piquero-Casals J., Morgado-Carrasco D., Granger C., Trullas C., Jesús-Silva A., Krutmann J. Urea in Dermatology: A Review of its Emollient, Moisturizing, Keratolytic, Skin Barrier Enhancing and Antimicrobial Properties. Dermatol. Ther. 2021;11:1905–1915.
    doi: 10.1007/s13555-021-00611-ypmc: PMC8611129pubmed: 34596890google scholar: lookup
  77. Yu A.A. Pastern dermatitis. Current Therapy in Equine Medicine 2003;5th ed.;pp. 201–203.
  78. White S.D., Yu A.A. Equine dermatology. AAEP Annu. Conv.-San Antonio 2006;52:457–500.
  79. Sauvé F. Staphylococcal cutaneous infection in horses: From the early 2000s to the present. Can. Vet. J. 2021;62:1001–1006.
    pmc: PMC8360305pubmed: 34475588
  80. Tasleem S., Naqvi S.B., Khan S.A., Hashimi K. ‘Honey ointment’: A natural remedy of skin wound infections. J. Ayub Med. Coll. Abbottabad. 2011;23:26–31.
    pubmed: 24800336
  81. Almasaudi S.B., Al-Nahari A.A., El-Ghany E.A., Barbour E.K., Muhayawi S.M.A., Al-Jaouni S., Azhar E.I., Qari M.H., Qari Y., Harakeh S. Antimicrobial effect of different types of honey on Staphylococcus aureus. Saudi J. Biol. Sci. 2017;24:1255–1261.
    doi: 10.1016/j.sjbs.2016.08.007pmc: PMC5562472pubmed: 28855819google scholar: lookup
  82. Kondratjeva J., Combarros D., Pressanti C., Cadiergues M.C. What is the most effective treatment in horses with chorioptic mange?. Equine Vet. Educ. 2022;35.
    doi: 10.1111/eve.13637google scholar: lookup
  83. Osman S.A., Hanafy A., Amer S.E. Clinical and therapeutic studies on mange in horses. Vet. Parasitol. 2006;141:191–195.
    doi: 10.1016/j.vetpar.2006.04.039pubmed: 16782277google scholar: lookup
  84. Kotb S., Abdel-Rady A. Epidemiological studies of equine mange with special reference to different therapeutic protocols for effective treatment of Chorioptic mange. Assiut Univ. Bull. Environ. Res. 2013;16:29–52.
  85. Littlewood J., Rose J., Paterson S. Oral ivermectin paste for the treatment of chorioptic mange in horses. Vet. Rec. 1995;137:661–663.
    pubmed: 8966971
  86. Rendle D.I., Cottle H.J., Love S., Hughes K.J. Comparative study of doramectin and fipronil in the treatment of equine chorioptic mange. Vet. Rec. 2007;161:335–338.
    doi: 10.1136/vr.161.10.335pubmed: 17827472google scholar: lookup
  87. Curtis C.F. Pilot study to investigate the efficacy of a 1 per cent selenium sulphide shampoo in the treatment of equine chorioptic mange. Vet. Rec. 1999;144:674–675.
    doi: 10.1136/vr.144.24.674pubmed: 10404608google scholar: lookup
  88. Heile C., Schein E. Wichtige Parasitosen beim Pferd und deren strategische Bekämpfung-ein Überblick. Teil 2: Ektoparasitosen. Der Prakt. Tierarzt. 2005;86:248–253.
  89. Westermann C.M., Boerma S., van Nieuwstadt R.A. Amitraz-intoxicaties bij het paard; casuïstieken en achtergronden [Amitraz intoxications in the horse: Cases and backgrounds]. Tijdschr. Diergeneeskd. 2004;129:438–441.
    pubmed: 15279222
  90. Auer D.E., Seawright A.A., Pollitt C.C., Williams G. Illness in horses following spraying with amitraz. Aust. Vet. J. 1984;61:257–259.
  91. Liebisch A., Oldbrich S., Deppe M. Untersuchungen zur Uberlebensdauer von Milben der Arten Psoroptes ovis, Psoroptes cuniculi and Chorioptes bovis abseits des belebten. Dtsch. Tierarztl. Wochenschr. 1985;92:181–185.
    pubmed: 3891299
  92. Vlaminck L., De Cock H.E.V., Hoesten H., Gasthuys F. Epidermal shaving for hyperpapillomatosis secondary to chronic progressive lymphedema in Belgian draft horses. Vet. Dermatol. 2008;19:76.
  93. Callebert J. Beenscores van de dierenartsen. Ledenmagazine K.M.B.T. 2016;108:49–52.
  94. Janssens S. De genetica van CPL. Trekpaard Jeugd; Ranst, Belgium 2018;pp. 23–26.
  95. Janssens S., Chapard L., Buys N. Genetische variatie bij het Belgisch trekpaard (deel 2). Ledenblad V.F.B.T. 2021;2:14–15.
  96. Franklin I.R. Evolutionary change in small populations. Conservation Biology: An Evolutionary-Ecological Perspective 1980;pp. 135–149.