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Journal of the American Veterinary Medical Association2001; 219(8); 1115-1121; doi: 10.2460/javma.2001.219.1115

Intradermal testing in healthy horses and horses with chronic obstructive pulmonary disease, recurrent urticaria, or allergic dermatitis.

Abstract: To compare responses to a variety of intradermally injected allergens among healthy horses and horses with chronic obstructive pulmonary disease (COPD), recurrent urticaria (RU), and atopic dermatitis-insect hypersensitivity (allergic dermatitis [AD]). Methods: Case-control study. Methods: 86 horses. Methods: Results of intradermal testing for horses with COPD, RU, or AD were compared with results for healthy horses. Results: Compared with healthy horses, horses with COPD, RU, and AD were significantly more likely to have positive (> or = 3+) reactions to intradermal allergens (molds, weeds, trees, grasses-crops, and insects) 30 minutes (immediate reaction), 4 hours (late-phase reactions), and 24 hours (delayed-phase reactions) after exposure. In addition, diseased horses reacted to a significantly higher number of allergens in each allergen group than did healthy horses. Conclusions: Reactions to individual allergens should not be used to determine that horses have hypersensitivity. Overall patterns of reactivity to intradermal allergens may be helpful in management when used in conjunction with a compatible history and evidence of potential exposure to allergens in horses with conditions associated with hypersensitivity to environmental allergens.
Publication Date: 2001-11-10 PubMed ID: 11700711DOI: 10.2460/javma.2001.219.1115Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research paper investigates the allergic reactions to intradermally injected allergens in healthy horses and those with chronic obstructive pulmonary disease, recurrent urticaria and allergic dermatitis, and finds that affected horses are significantly more likely to show positive reactions to a higher variety of these allergens.

Objective and Methodology

  • The objective of the study was to compare the allergic responses of healthy horses with those suffering from three different diseases: Chronic Obstructive Pulmonary Disease (COPD), Recurrent Urticaria (RU), and Allergic Dermatitis (also known as Atopic Dermatitis-Insect Hypersensitivity).
  • A case-control study was conducted involving 86 horses to measure and compare their results from intradermal allergen testing.
  • The testing involved the injection of various allergens, including molds, weeds, trees, grasses-crops, and insects, under the skin of the horses’ necks.

Results

  • Findings show that horses with the aforementioned diseases display significantly more positive (defined as ≥ 3+) reactions to the injected allergens.
  • The reactions were measured at different time intervals post-exposure: 30 minutes (immediate reactions), 4 hours (late-phase reactions), and 24 hours (delayed-phase reactions).
  • Not just were there more reactions, but the variety of allergens causing these reactions was also significantly higher in diseased horses compared to healthy ones.

Conclusions

  • The study concludes that a single reactionary allergen should not be used to conclude that a horse has hypersensitivity. Instead, the overall pattern of reactivity to multiple allergens should be considered.
  • These patterns can aid in managing the horses’ diseases, but they should be considered together with the horse’s history and with evidence of exposure to potential allergens.
  • The research provides important insights regarding environmental allergen hypersensitivity in horses, making a significant contribution to veterinary allergology by imposing the need of a more comprehensive approach for the diagnosis and management of equine allergies.

Cite This Article

APA
Jose-Cunilleras E, Kohn CW, Hillier A, Saville WJ, Lorch G. (2001). Intradermal testing in healthy horses and horses with chronic obstructive pulmonary disease, recurrent urticaria, or allergic dermatitis. J Am Vet Med Assoc, 219(8), 1115-1121. https://doi.org/10.2460/javma.2001.219.1115

Publication

ISSN: 0003-1488
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 219
Issue: 8
Pages: 1115-1121

Researcher Affiliations

Jose-Cunilleras, E
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus 43210, USA.
Kohn, C W
    Hillier, A
      Saville, W J
        Lorch, G

          MeSH Terms

          • Allergens
          • Animals
          • Bronchoalveolar Lavage Fluid
          • Case-Control Studies
          • Dermatitis, Atopic / diagnosis
          • Dermatitis, Atopic / immunology
          • Dermatitis, Atopic / veterinary
          • Female
          • Horse Diseases / diagnosis
          • Horse Diseases / immunology
          • Horses
          • Hypersensitivity, Delayed / diagnosis
          • Hypersensitivity, Delayed / veterinary
          • Hypersensitivity, Immediate / diagnosis
          • Hypersensitivity, Immediate / veterinary
          • Intradermal Tests / veterinary
          • Male
          • Pulmonary Disease, Chronic Obstructive / diagnosis
          • Pulmonary Disease, Chronic Obstructive / immunology
          • Pulmonary Disease, Chronic Obstructive / veterinary
          • Recurrence
          • Time Factors
          • Urticaria / diagnosis
          • Urticaria / immunology
          • Urticaria / veterinary

          Citations

          This article has been cited 10 times.
          1. Pessoa VC, Branco-Ferreira M, Jónsdóttir S, Marti E, Tilley P. Comparison of Skin Prick Tests (SPT), Intradermal Tests (IDT) and In Vitro Tests in the Characterization of Insect Bite Hypersensitivity (IBH) in a Population of Lusitano Horses: Contribution for Future Implementation of SPT in IBH Diagnosis. Animals (Basel) 2023 Aug 28;13(17).
            doi: 10.3390/ani13172733pubmed: 37684997google scholar: lookup
          2. Lo Feudo CM, Stucchi L, Alberti E, Conturba B, Zucca E, Ferrucci F. Intradermal Testing Results in Horses Affected by Mild-Moderate and Severe Equine Asthma. Animals (Basel) 2021 Jul 13;11(7).
            doi: 10.3390/ani11072086pubmed: 34359214google scholar: lookup
          3. Marsella R. Atopic Dermatitis in Domestic Animals: What Our Current Understanding Is and How This Applies to Clinical Practice. Vet Sci 2021 Jul 2;8(7).
            doi: 10.3390/vetsci8070124pubmed: 34357916google scholar: lookup
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            doi: 10.1111/vde.12871pubmed: 32743929google scholar: lookup
          6. Marsella R, De Benedetto A. Atopic Dermatitis in Animals and People: An Update and Comparative Review. Vet Sci 2017 Jul 26;4(3).
            doi: 10.3390/vetsci4030037pubmed: 29056696google scholar: lookup
          7. Hallamaa R, Batchu K. Phospholipid analysis in sera of horses with allergic dermatitis and in matched healthy controls. Lipids Health Dis 2016 Mar 2;15:45.
            doi: 10.1186/s12944-016-0209-4pubmed: 26932514google scholar: lookup
          8. Mueller RS, Janda J, Jensen-Jarolim E, Rhyner C, Marti E. Allergens in veterinary medicine. Allergy 2016 Jan;71(1):27-35.
            doi: 10.1111/all.12726pubmed: 26280544google scholar: lookup
          9. Hallamaa RE. Characteristics of equine summer eczema with emphasis on differences between Finnhorses and Icelandic horses in a 11-year study. Acta Vet Scand 2009 Jul 14;51(1):29.
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          10. O Morris D, Lindborg S. Determination of 'irritant' threshold concentrations for intradermal testing with allergenic insect extracts in normal horses. Vet Dermatol 2003 Feb;14(1):31-36.