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Experimentally induced phenylbutazone toxicosis in ponies: description of the syndrome and its prevention with synthetic prostaglandin E2.

Abstract: Phenylbutazone (PBZ) toxicosis was induced in 9 ponies to further define the clinical and pathologic changes occurring with this syndrome. Six additional ponies were treated with PBZ and a synthetic prostaglandin E2 to determine the role of prostaglandins in the pathogenesis of PBZ toxicosis. Ponies given only PBZ exhibited CNS depression, anorexia, weight loss, diarrhea, cyanotic mucous membranes, and oral ulcers. Total serum protein concentration gradually decreased during the 10-day treatment period. Marked mucosal atrophy, focal erosions, and ulcers characterized the lesions in the alimentary tract. Ponies given PBZ and prostaglandin E2 remained clinically healthy and did not develop hypoproteinemia or mucosal atrophy. A few erosions were seen, but ulcers were not observed. The results of the present study indicate that mucosal atrophy is a characteristic lesion of PBZ toxicosis. It is also evident that inhibition of prostaglandin synthesis has an important role in the development of this syndrome.
Publication Date: 1985-08-01 PubMed ID: 3862357
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research article discusses an experiment conducted on ponies to understand the effects of phenylbutazone (PBZ) toxicosis, and how a synthetic prostaglandin E2 can prevent its severe symptoms. The study reveals that mucosal atrophy is a chief symptom of PBZ toxicosis, and prostaglandin synthesis inhibition plays a significant part in its genesis.

Research Design and Process

  • The experiment was initiated by inducing phenylbutazone (PBZ) toxicosis in 9 ponies. The goal was to examine and describe the clinical and pathological changes that occur with this syndrome.
  • A group of another six ponies were treated with both PBZ and a synthetic prostaglandin E2. The objective of this treatment combination was to determine the role of prostaglandins in the development of PBZ toxicosis.

Findings from the PBZ Only Treatment Group

  • Ponies only given PBZ displayed several adverse health symptoms, including depression of the Central Nervous System (CNS), reduced appetite, weight loss, diarrhea, and bluish discoloration (cyanosis) of mucous membranes.
  • They also developed oral ulcers, and their total serum protein concentration decreased progressively for the 10-day treatment period.
  • Furthermore, they experienced significant mucosal atrophy, focal erosions, and ulcers in their alimentary tract.

Findings from the PBZ with Prostaglandin E2 Treatment Group

  • On the other hand, ponies given both PBZ and prostaglandin E2 remained clinically healthy and did not develop hypoproteinemia – a condition signified by unusually low levels of proteins in the blood – or mucosal atrophy.
  • While few erosions were noted, ulcers were not observed in these ponies.

Conclusions from the Study

  • The researchers concluded that mucosal atrophy is a distinctive symptom of PBZ toxicosis.
  • The study also suggests that the process of inhibiting prostaglandin synthesis, which can be prevented by introducing synthetic prostaglandin E2, plays an essential role in the evolution of this syndrome.

Cite This Article

APA
Collins LG, Tyler DE. (1985). Experimentally induced phenylbutazone toxicosis in ponies: description of the syndrome and its prevention with synthetic prostaglandin E2. Am J Vet Res, 46(8), 1605-1615.

Publication

ISSN: 0002-9645
NlmUniqueID: 0375011
Country: United States
Language: English
Volume: 46
Issue: 8
Pages: 1605-1615

Researcher Affiliations

Collins, L G
    Tyler, D E

      MeSH Terms

      • Animals
      • Dinoprostone
      • Female
      • Gastrointestinal Diseases / pathology
      • Gastrointestinal Diseases / prevention & control
      • Gastrointestinal Diseases / veterinary
      • Horse Diseases / pathology
      • Horse Diseases / prevention & control
      • Horses
      • Intestinal Mucosa / pathology
      • Male
      • Necrosis
      • Phenylbutazone / poisoning
      • Prostaglandins E / therapeutic use
      • Syndrome / veterinary

      Citations

      This article has been cited 8 times.
      1. Albanese V, Munsterman A, Klohnen A. Prevalence of Gastric Ulceration in Horses with Enterolithiasis Compared with Horses with Simple Large Intestinal Obstruction. Vet Sci 2022 Oct 25;9(11).
        doi: 10.3390/vetsci9110587pubmed: 36356064google scholar: lookup
      2. Gomez DE, Leclere M, Arroyo LG, Li L, John E, Afonso T, Payette F, Darby S. Acute diarrhea in horses: A multicenter Canadian retrospective study (2015 to 2019). Can Vet J 2022 Oct;63(10):1033-1042.
        pubmed: 36185796
      3. Banse HE, Andrews FM. Equine glandular gastric disease: prevalence, impact and management strategies. Vet Med (Auckl) 2019;10:69-76.
        doi: 10.2147/VMRR.S174427pubmed: 31406687google scholar: lookup
      4. Banse HE, MacLeod H, Crosby C, Windeyer MC. Prevalence of and risk factors for equine glandular and squamous gastric disease in polo horses. Can Vet J 2018 Aug;59(8):880-884.
        pubmed: 30104780
      5. Galvin N, Dillon H, McGovern F. Right dorsal colitis in the horse: minireview and reports on three cases in Ireland. Ir Vet J 2004 Aug 1;57(8):467-73.
        doi: 10.1186/2046-0481-57-8-467pubmed: 21851661google scholar: lookup
      6. Mathews KA, Doherty T, Dyson DH, Wilcock B, Valliant A. Nephrotoxicity in dogs associated with methoxyflurane anesthesia and flunixin meglumine analgesia. Can Vet J 1990 Nov;31(11):766-71.
        pubmed: 17423691
      7. Geor RJ, Petrie L, Papich MG, Rousseaux C. The protective effects of sucralfate and ranitidine in foals experimentally intoxicated with phenylbutazone. Can J Vet Res 1989 Apr;53(2):231-8.
        pubmed: 2713788
      8. Carrick JB, Papich MG, Middleton DM, Naylor JM, Townsend HG. Clinical and pathological effects of flunixin meglumine administration to neonatal foals. Can J Vet Res 1989 Apr;53(2):195-201.
        pubmed: 2713784