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Journal of veterinary internal medicine2008; 22(3); 648-653; doi: 10.1111/j.1939-1676.2008.0100.x

Idiopathic chronic eosinophilic pneumonia in 7 horses.

Abstract: Idiopathic chronic eosinophilic pneumonia of horses is incompletely described. Objective: To describe the physical examination, clinicopathologic, histopathologic, and radiographic features and response to corticosteroid treatment of idiopathic chronic eosinophilic pneumonia of horses. Methods: Seven horses with eosinophilic pneumonia. Methods: Retrospective, descriptive study. Results: Anamnesis, clinical signs, and clinicopathologic and radiologic findings in 7 adult horses with histologically confirmed eosinophilic pneumonia were reviewed. The horses were examined for signs of chronic respiratory disease. The horses ranged in age from 8 to 20 years. Significant findings on physical examination included tachypnea and abnormal respiratory sounds. Thoracic radiography revealed severe diffuse interstitial patterns of increased pulmonary density in all horses. There was a predominance of eosinophils in bronchoalveolar lavage fluid (BALF), and 6 of 7 horses had peripheral blood eosinophilia. Lung biopsies revealed eosinophilic infiltrates in all horses. Dexamethasone was administered to 3 horses and resulted in short-term clinical improvement in all three. Conclusions: A diagnosis of idiopathic eosinophilic pneumonia should be considered in horses with a history of chronic pulmonary disease, diffuse interstitial pattern of increased pulmonary density on thoracic radiographs, and a predominance of eosinophils in BALF. Horses with this condition may show a temporary response to treatment with dexamethasone.
Publication Date: 2008-05-02 PubMed ID: 18466259DOI: 10.1111/j.1939-1676.2008.0100.xGoogle Scholar: Lookup
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Summary

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The research paper analyzes the physical, clinical, and radiographic characteristics and response to corticosteroid treatment of idiopathic chronic eosinophilic pneumonia in horses, using a sample size of seven horses. It discovers that horses with this condition display signs of chronic respiratory disease and demonstrate a temporary response to treatment with dexamethasone.

Study Methods and Results

  • The study involves a retrospective and descriptive analysis of seven adult horses, aged between 8 to 20 years, who were diagnosed with eosinophilic pneumonia.
  • These horses were evaluated for signs of chronic respiratory disease.
  • Significant findings on physical examination include fast breathing rate (tachypnea) and abnormal respiratory sounds.
  • Radiographic examination of the horses’ thoracic region showed severe diffuse interstitial patterns of increased pulmonary density in all horses, potentially indicating lung inflammation or damage.
  • The bronchoalveolar lavage fluid (BALF) from the horses showed a high prevalence of eosinophils, a type of white blood cells. This observation is indicative of an immune response to an allergen or a parasitic infection. Six out of seven horses also had high levels of eosinophils in their peripheral blood.
  • Lung biopsy confirmed the presence of eosinophilic infiltrates in the lung tissue of all horses, supporting the diagnosis of eosinophilic pneumonia.
  • Three of the horses were treated with Dexamethasone, a type of corticosteroid. All three showed short-term clinical improvement but the study does not comment on long-term effects.

Conclusions

  • The study concludes that a diagnosis of idiopathic eosinophilic pneumonia should be considered in horses displaying a history of chronic pulmonary disease, increased pulmonary density on thoracic radiographs, and a high count of eosinophils in their BALF.
  • The research also suggests that horses with this condition may demonstrate a temporary response to treatment with dexamethasone, a type of corticosteroid medication. However, the study does not explore the long-term effects of this medication or suggest alternative treatment options if the response is only short-term.

Cite This Article

APA
Bell SA, Drew CP, Wilson WD, Pusterla N. (2008). Idiopathic chronic eosinophilic pneumonia in 7 horses. J Vet Intern Med, 22(3), 648-653. https://doi.org/10.1111/j.1939-1676.2008.0100.x

Publication

ISSN: 0891-6640
NlmUniqueID: 8708660
Country: United States
Language: English
Volume: 22
Issue: 3
Pages: 648-653

Researcher Affiliations

Bell, S A
  • Department of Pathology, Microbiology, and Immunology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA. sabell@ucdavis.edu
Drew, C P
    Wilson, W D
      Pusterla, N

        MeSH Terms

        • Animals
        • Anti-Inflammatory Agents / therapeutic use
        • Chronic Disease
        • Dexamethasone / therapeutic use
        • Female
        • Horse Diseases / diagnosis
        • Horse Diseases / drug therapy
        • Horse Diseases / pathology
        • Horses
        • Male
        • Pulmonary Eosinophilia / diagnosis
        • Pulmonary Eosinophilia / drug therapy
        • Pulmonary Eosinophilia / pathology
        • Pulmonary Eosinophilia / veterinary

        Citations

        This article has been cited 1 times.
        1. Couëtil LL, Cardwell JM, Gerber V, Lavoie JP, Léguillette R, Richard EA. Inflammatory Airway Disease of Horses--Revised Consensus Statement. J Vet Intern Med 2016 Mar-Apr;30(2):503-15.
          doi: 10.1111/jvim.13824pubmed: 26806374google scholar: lookup