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The Veterinary clinics of North America. Equine practice2020; 36(1); 15-33; doi: 10.1016/j.cveq.2019.11.001

Hematology Red Flags: The Value of Blood Smear Examination in Horses.

Abstract: This article uses a case-based approach, complemented with diagnostic algorithms and images, to highlight hematologic changes of pathologic relevance in horses, namely, marked erythrocytosis, anemia or leukocytosis, inflammatory leukograms, lymphocytosis in adult horses, thrombocytopenia, and pancytopenia. These hematologic abnormalities occur with certain diseases and their identification can help clinicians narrow to down differential diagnostic lists. This article highlights the importance of blood smear examination, particularly, but not only, when numerical red flags are identified on automated blood counts.
Publication Date: 2020-01-18 PubMed ID: 31959376DOI: 10.1016/j.cveq.2019.11.001Google Scholar: Lookup
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Summary

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This research paper discusses the relevance of performing blood smear examinations on horses to identify possible hematologic diseases, which may be signaled by several blood abnormalities.

Objective of the Research

The research aims to:

  • Use a case-based approach with images and diagnostic algorithms to emphasize the significance of hematologic changes.
  • Study pathological relevance in horses, such as remarkable erythrocytosis, anemia, or leukocytosis, inflammatory leukograms, lymphocytosis in adult horses, thrombocytopenia, and pancytopenia.
  • Optimize the diagnostic process by associating these hematologic abnormalities with certain diseases and thereby narrowing down the differential diagnostic lists.

Methodology & Approach

  • The research employed a case-based approach where individual horse cases with hematologic changes were studied in detail.
  • Diagnostic algorithms which are step-by-step procedures for diagnosing diseases and images were used to portray the microscopic hematologic changes clearly.
  • Changes such as erythrocytosis (increase in red blood cells), anemia or leukocytosis (increase in white blood cells count), inflammatory leukograms (changes in white blood cells due to inflammation), lymphocytosis in adult horses (increase in lymphocyte cells), thrombocytopenia (low platelet count), and pancytopenia (reduction in all cells) were of particular interest in the study.

Findings and Interpretation

  • These hematologic changes were found to be indicative of underlying diseases, with each condition having a specific set of associated diseases or health concerns.
  • Identification of these changes can enable clinicians to pinpoint the possible causes of the condition, enhancing the accuracy of further diagnostic processes and interventions.

Implications of the Research

  • Highlighting the importance of blood smear examination in horses especially when numerical discrepancies are identified in automated blood cell counts.
  • This emphasizes that while automated blood count machines are helpful, a physical examination like a blood smear provides add-on comprehensive data for diagnosing blood-related diseases in horses.

Cite This Article

APA
Stokol T. (2020). Hematology Red Flags: The Value of Blood Smear Examination in Horses. Vet Clin North Am Equine Pract, 36(1), 15-33. https://doi.org/10.1016/j.cveq.2019.11.001

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 36
Issue: 1
Pages: 15-33
PII: S0749-0739(19)30066-5

Researcher Affiliations

Stokol, Tracy
  • Department of Population Medicine and Diagnostic Sciences, Cornell University, College of Veterinary Medicine, S1-058 Schurman Hall, Upper Tower Road, Ithaca, NY 14853-6401, USA. Electronic address: tracy.stokol@cornell.edu.

MeSH Terms

  • Animals
  • Cytological Techniques / methods
  • Cytological Techniques / veterinary
  • Female
  • Hematology / methods
  • Horse Diseases / blood
  • Horses / blood
  • Male

Conflict of Interest Statement

Disclosure The author has no conflicts of interest to disclose.

Citations

This article has been cited 1 times.
  1. Hagen A, Lehmann H, Aurich S, Bauer N, Melzer M, Moellerberndt J, Patané V, Schnabel CL, Burk J. Scalable Production of Equine Platelet Lysate for Multipotent Mesenchymal Stromal Cell Culture.. Front Bioeng Biotechnol 2020;8:613621.
    doi: 10.3389/fbioe.2020.613621pubmed: 33553119google scholar: lookup