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The Veterinary clinics of North America. Equine practice1999; 15(2); 375-vii; doi: 10.1016/s0749-0739(17)30151-7

Clinical presentation, diagnosis, and prognosis of chronic laminitis.

Abstract: This article focuses on the initial assessment of the horse affected with chronic laminitis. Variations in the clinical presentation and primary considerations in making a differential diagnosis are included. The elements of a clinical history essential to sound, therapeutic management, and prognosis are summarized. The physical and radiographic assessment of the digital lesions and diagnostic approaches to the common systemic aspects of the disease are presented and discussed.
Publication Date: 1999-09-03 PubMed ID: 10472118DOI: 10.1016/s0749-0739(17)30151-7Google Scholar: Lookup
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Summary

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The research article discusses the assessment and diagnosis process for chronic laminitis in horses, highlighting the differences in clinical presentations, essential elements of a clinical history for effective treatment management, and predicting outcomes. The article also explains the physical and radiographic evaluation of the disease and the diagnostic techniques used to identify common systemic aspects of the disease.

Initial Assessment and Clinical Presentation

  • The research begins with an analysis of the first step of managing chronic laminitis, i.e., the initial assessment of an affected horse. The authors explain that this assessment requires professionals to observe and physically examine the horse.
  • Moreover, the article highlights how different horses with the same disease can present different symptoms due to the varying clinical presentations. This necessitates a thorough history compilation and multifaceted diagnostic approach for each patient.

Differential Diagnosis

  • The article begins by explaining the importance of differential diagnosis, wherein other similar diseases and conditions are ruled out before confirming chronic laminitis.
  • These factors are pivotal in prescribing the correct therapeutic management and providing the horse’s owners with an accurate prognosis. This way, veterinarians can ensure that they appropriately address the problem without any misdiagnosis.

Evaluation of Digital Lesions and Diagnostic Approaches

  • The authors further delve into the topic by discussing physical and radiographic assessments of the digital lesions that are often found in horses with chronic laminitis. Such evaluations are essential in understanding the severity of the disease and designing a suitable treatment plan.
  • Additionally, the article provides an overview of the diagnostic approaches used to explore the common systematic aspects of the disease, which gives a comprehensive understanding of the overall health implications of the disease in the affected horse.

Therapeutic Management and Prognosis

  • The final part of the article involves discussing how understanding all these different aspects can lead to sound, therapeutic management of the condition. The authors emphasize the importance of prognosis in managing expectancies and structuring future healthcare choices.
  • By summarizing the essential elements of a clinical history, the research empowers veterinary professionals to better manage the treatment and rehabilitation of the affected horse.

Cite This Article

APA
Herthel D, Hood DM. (1999). Clinical presentation, diagnosis, and prognosis of chronic laminitis. Vet Clin North Am Equine Pract, 15(2), 375-vii. https://doi.org/10.1016/s0749-0739(17)30151-7

Publication

ISSN: 0749-0739
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 15
Issue: 2
Pages: 375-vii

Researcher Affiliations

Herthel, D
  • Alamo Pintado Equine Hospital, Los Olivos, California, USA.
Hood, D M

    MeSH Terms

    • Animals
    • Chronic Disease
    • Diagnosis, Differential
    • Disease Progression
    • Foot Diseases / diagnosis
    • Foot Diseases / veterinary
    • Hoof and Claw / diagnostic imaging
    • Hoof and Claw / pathology
    • Horse Diseases / diagnosis
    • Horses
    • Inflammation / diagnosis
    • Inflammation / veterinary
    • Lameness, Animal / diagnosis
    • Prognosis
    • Radiography
    • Radionuclide Imaging

    Citations

    This article has been cited 2 times.
    1. Nocera I, Aliboni B, Ben David L, Gracia-Calvo LA, Sgorbini M, Citi S. Radiographic and Venographic Appearance of Healthy and Laminitic Feet in Amiata Donkeys.. Front Vet Sci 2020;7:601665.
      doi: 10.3389/fvets.2020.601665pubmed: 33409297google scholar: lookup
    2. Oke RA. Unilateral white line disease and laminitis in a quarter horse mare.. Can Vet J 2003 Feb;44(2):145-6.
      pubmed: 12650045