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Ionic composition of gastric reflux and small intestinal fluid in horses: implications for fluid replacement.
Journal of equine veterinary science    September 2, 2025   Volume 154 105683 doi: 10.1016/j.jevs.2025.105683
Paganelli GC, Schott HC.Small intestinal (SI) distension and gastric reflux (GR) are common in horses with mechanical and functional ileus. Removal of GR results in fluid/ion losses. Objective: 1) Determine the capacity of healthy SI; 2) measure ion concentrations in normal SI fluid, GR, or fluid from SI undergoing resection. The authors hypothesized that Na and Cl concentrations would be lower and higher, respectively, in GR as compared to SI fluid from healthy horses, while there would be little difference in K concentration. Methods: Observational study: two to 15 meters of SI from 15 horses were distended with wa...
Cortisol and heart rate response of mares during the in-hand breeding procedure with and without restraint.
Equine veterinary journal    September 2, 2025   doi: 10.1111/evj.70083
Atayde MF, Vidondo B, Bruckmaier R, Freymond SB, Sieme H, Rey-Kaeser R, Burger D.In-hand breeding involving restraint methods is likely the most common practice in the horse breeding industry worldwide. However, welfare issues that arise from such management have not been investigated in detail. Objective: (1) To investigate whether the mares show increased stress responses during in-hand breeding using (a) a lip twitch and (b) hobbles. (2) To evaluate if the use of restraint methods influences the mare's expression of oestrous behaviour. Methods: Intra-individual cross-over design. Methods: Six Franches-Montagnes stallions and 10 warmblood mares were used in these experim...
Detection of Neorickettsia risticii in antemortem fecal and postmortem fetal samples, with genomic insights from complete genome sequencing of a strain recovered from an aborted equine fetus.
Veterinary microbiology    September 2, 2025   Volume 310 110705 doi: 10.1016/j.vetmic.2025.110705
Uprety T, Durazo J, Paul L, Metiner K, Ruby R, Loynachan A, Janes J, Kenndy L, Cassone L, Molly E, Quick M, Morgan J, Beyhan S, Erol E.Neorickettsia risticii (N. risticii) is an obligatory intracellular bacterium that causes Potomac horse fever (PHF), a disease clinically characterized by diarrhea, pyrexia, and laminitis in horses. Although sporadic reports of N. risticii infection have been linked to abortion in mares, a detailed retrospective study, including genomic analysis of the pathogen from an aborted fetus, has not been published. This study examined 546 fecal samples from clinically ill horses (January 1, 2017-December 31, 2024) and 833 colon samples from aborted equine fetuses (September 20, 2018-December 31, 2024)...
The predictive ability of blood-based biomarkers to detect bacteremia in hospitalized neonatal foals.
Veterinary journal (London, England : 1997)    September 2, 2025   Volume 314 106427 doi: 10.1016/j.tvjl.2025.106427
Samuels AN, Collins NM, Hanlon K, Bartish C, Kelly P, Kamr AM, Toribio RE.Early and accurate identification of septicemia in neonatal foals improves survival. In human medicine, the neutrophil-to-lymphocyte ratio (NLR), neutrophil-to-monocyte ratio (NMR), monocyte-to-lymphocyte ratio (MLR), and plasma cell-free DNA (cfDNA) aid in early bacteremia detection. This study evaluated the diagnostic utility of these markers in conjunction with other clinical and hematological parameters in hospitalized foals < 5 days old to predict positive blood culture at admission and to distinguish between Gram-positive, Gram-negative, or polymicrobial bacteremia. A total of 391 f...
[Unilateral leiomyoma in the spermatic cord – a reason for intermittent colic in stallions?].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    September 2, 2025   Volume 53, Issue 4 272-279 doi: 10.1055/a-2638-4414
Hegger A, Köhne M, Gerhauser I, Görgens A.A 19-year-old Oldenburg stallion was presented multiple times over the course of several months with recurrent colic signs. At each examination, an enlargement of the scrotum was noted, which could not be further specified by palpation and ultrasonographic examination. The increase in circumference was noted both on palpation and on inspection and the size remained unchanged throughout. No special findings were noted during the general examination and the special examination of the colic patient. A few months after the first onset of symptoms, a chicken egg-sized mass was palpated on the right...
Adjuvant combination enhances immune response of equine influenza virus vaccine in horses.
Equine veterinary journal    September 2, 2025   Volume 58, Issue 2 591-600 doi: 10.1111/evj.70090
Dong-Ha L, Eun-Bee L, Jong-Pil S, Eun-Ju K.Despite routine vaccination, equine influenza outbreaks occur due to disparities of virus strains between vaccine and field, and immunity gaps between vaccinations. Objective: To evaluate whether a combination of adjuvants can enhance immune responses to equine influenza virus (EIV) vaccines. Methods: In vivo experimental study. Methods: Eight mixed-breed horses were immunised intramuscularly with a recombinant canarypox-based EIV vaccine, either alone or in combination with monophosphoryl lipid A (MPL) and polyinosinic-polycytidylic acid (poly I:C). A single vaccine dose was administered, and...
A serological test based on mutated recombinant Fasciola hepatica cathepsin L protease for the diagnosis of equine fasciolosis.
Veterinary parasitology    September 2, 2025   Volume 340 110592 doi: 10.1016/j.vetpar.2025.110592
Kronenberg PA, Fouché N, Sekiya M, Liechti P, Frey CF, Mulcahy G, Eichenberger RM.Fasciola hepatica is a common trematode parasite of livestock in many regions, causing significant economic losses and affecting animal welfare. Horses rarely develop patent liver fluke infection. However, liver damage can affect animal health and welfare. Therefore, F. hepatica infection in horses may be underreported. Recently, a serological test for the antibody detection has been reported based on recombinant parasite cathepsin L1 (FhCL1) protease. Here, we optimized this enzyme-linked immunosorbent assay (ELISA) for antibody-detection in horses with equine fasciolosis based on recombinant...
How prior racing performance influences competition level in off-the-track Thoroughbred horses’ post-racing eventing careers.
Journal of equine veterinary science    September 1, 2025   Volume 154 105679 doi: 10.1016/j.jevs.2025.105679
Bacon EK, Parnell D, Muscatello G, McElroy J, Velie BD.The ongoing discussion surrounding the well-being of retired racehorses underscores the importance of implementing effective rehoming strategies that prioritise animal welfare. A significant knowledge gap persists regarding whether a horse's success in racing can be used to reliably predict its performance in different equestrian sports upon retirement from racing. Objective: To examine the association between racehorse performance metrics and eventing metrics in off-the-track Thoroughbreds that compete in eventing within Australia. Methods: Racing metrics and eventing metrics for a sample of ...
Evaluating efficacy and strongyle egg reappearance period after ivermectin treatment in a Hungarian stud farm.
Veterinary parasitology, regional studies and reports    September 1, 2025   Volume 64 101336 doi: 10.1016/j.vprsr.2025.101336
Joó K, Csanádi L, Povázsai Á, Nielsen MK.Horses remain globally at constant risk of strongylid infections, with cyathostomins being particularly prevalent and abundant. It is essential to routinely monitor the efficacy of anthelmintics against equine nematodes. This study aimed to evaluate the efficacy of ivermectin against equine strongyles and estimate the strongyle egg reappearance period (ERP) following ivermectin treatment for the first time in Hungary. Fecal samples were collected from 57 Thoroughbred mares before treatment and at 2, 4, 5, 6, and 7 weeks post-treatment at a Hungarian National Stud Farm. Fecal egg counts (FECs)...
Risk factors associated with gastric disease prevalence in extensively kept horses in Iceland evaluated four times in a calendar year.
Equine veterinary journal    September 1, 2025   doi: 10.1111/evj.70072
Luthersson N, Harris PA, Parkin T, Þorgrímsdóttir ÚÝ, Bennet ED.It is unknown whether the high prevalence of Equine Squamous (ESGD) and Equine Glandular (EGGD) Gastric Disease in extensively grazed Icelandic horses in the autumn/winter is seasonally driven. Objective: To determine the prevalence of, and risk factors for, gastroscopically significant ESGD (ESGD:score of ≥2/4); gastroscopically severe ESGD (ESGD:score of ≥3/4) and gastroscopically significant EGGD (EGGD:score of ≥1/2) in extensively pasture-managed Icelandic horses at four timepoints. Methods: Prospective longitudinal cohort. Methods: Gastroscopy was undertaken in 80 Icelandic horses (...
PPARγ Agonism Modulates Synovial Macrophage and Cartilage Responses in an Equine Model of Synovial Inflammation-Implications for Joint Therapy.
Biomolecules    September 1, 2025   Volume 15, Issue 9 1267 doi: 10.3390/biom15091267
Chaimbeul SF, Rodrigues NNP, Thurston DD, Scoggin KE, Janes J, Jacobs CA, MacLeod JN, Stone AV, Menarim BC.Synovitis resolution is critical for joint homeostasis and prevents the progression of osteoarthritis (OA). Treatments like NSAIDs and intra-articular corticosteroids relieve symptoms by blocking pro-inflammatory mediators, but also impair the production of pro-resolving mediators, contributing to the likelihood of chronic synovitis. PPARγ signaling is an essential mechanism of synovitis resolution, which is decreased in OA tissues. To evaluate the potential of PPARγ agonists to promote pro-resolving pathways, equine macrophages cultured in autologous, normal, or inflamed synovial fluid ( = ...
High-quality, haplotype-resolved reference genomes of the Dutch warmblood horse and Friesian horse using trio binning.
BMC genomics    September 1, 2025   Volume 26, Issue 1 790 doi: 10.1186/s12864-025-11985-0
Steensma MJ, Ducro BJ, Dibbits B, Doekes HP, van Schipstal JGC, Kalblfleisch T, Groenen MAM, Derks MFL.In horses, genetic diversity is predominantly observed between breeds, with little variation within breeds. The studbooks of the two largest horse populations in the Netherlands, the Dutch Warmblood horse and Friesian horse population, have ongoing conservation projects including collecting large-scale genotype and sequence data. The current reference genome, derived from a Thoroughbred horse can lead to bias in genetic analyses of other horse breeds. Therefore, the aim of this study was to create high-quality breed-specific reference genomes of Dutch Warmblood and Friesian horses. We performe...
Associations between endometrial swab bacteriology and cytology findings and live foal rates in Thoroughbred broodmares in the United Kingdom.
Equine veterinary journal    September 1, 2025   Volume 58, Issue 2 348-358 doi: 10.1111/evj.70086
Fehin B, Scott CJ, Arango-Sabogal JC, de Mestre AM, Mouncey R.To date, relationships between pre-covering endometrial swab cytology and bacteriology and fertility outcomes in Thoroughbred broodmares in the United Kingdom are unknown and could aid clinical decision making. Objective: To investigate associations between cytology and bacteriology findings from the last endometrial swab taken in the breeding season (15 February to 15 July) and live-foal rates (predicted mean probability of producing a live foal) in UK Thoroughbred broodmares. Methods: Retrospective cohort study. Methods: Endometrial cytology and bacteriology findings were extracted from labo...
Ivermectin toxicosis in a foal: Use of intravenous lipid emulsion therapy.
The Canadian veterinary journal = La revue veterinaire canadienne    September 1, 2025   Volume 66, Issue 9 1004-1008 
Darby S, DeNotta S, Gomez DE.This report describes a case of ivermectin toxicosis in a 4-day-old thoroughbred colt successfully treated with intravenous lipid emulsion (ILE) without complications. This case supports the use of ILE as a safe and effective therapy for the management of lipophilic drug toxicosis in foals. Key clinical message: Ivermectin toxicosis, though rare in equine neonates, can occur following accidental overdose and induces severe neurologic signs. In this case, ILE administration resulted in rapid neurologic improvement and complete recovery without adverse effects, supporting its use as a safe and e...
In vitro and in vivo effects of Acacia mearnsii De Wild extract for cyathostomin control in horses.
Journal of equine veterinary science    September 1, 2025   Volume 154 105686 doi: 10.1016/j.jevs.2025.105686
Silva GLS, Curcio UA, Boufleur JA, Borges DGL, Nakatani MTM, Freitas MG, Borges FA, Faria FJC, Silva RHP, Franco GL.Anthelmintic resistance has led to the use of organic extracts as alternative methods of parasite control. Objective: The study aimed to assess the effects of Acacia mearnsii extract (tannin) on the control of cyathostomins in horses, both in vitro and in vivo. Methods: Thirty Pantaneiro horses naturally infected with cyathostomins were sourced from two distinct farms, designated as Farms A and B. At the start of the study, all third-stage larvae were cyathostomins, and an egg hatchability test (EHT) was performed using fecal samples from horses on both farms. Two randomized 28-day field studi...
Postbiotics and Parabiotics in Veterinary Medicine: A Market Overview.
Probiotics and antimicrobial proteins    September 1, 2025   doi: 10.1007/s12602-025-10734-9
Hosseini SH, Sharafi H, Emamjomeh A, Nasri F, Hosseini A, Mardani S, Moradi M.Postbiotics and parabiotics (PP) are innovative concepts in veterinary medicine that have garnered substantial interest owing to their unique properties and potential benefits. PP offers a promising alternative to live bacteria, demonstrating properties such as prebiotic, immunomodulatory, antimicrobial, anti-inflammatory, antioxidant, and anticancer effects, while potentially mitigating some of the common challenges associated with live bacterial applications. PP products are manufactured and commercially employed in livestock, poultry, and pets. Moreover, postbiotic-based commercial products...
Cat, dog, and horse allergies: emerging new insights.
The Turkish journal of pediatrics    September 1, 2025   Volume 67, Issue 4 445-454 doi: 10.24953/turkjpediatr.2025.5754
Koçali B, Ocak M, Şekerel BE.Animal allergens, particularly those from cats, dogs, and horses, are significant risk factors for the development of allergic diseases in childhood. Managing animal allergies requires allergen avoidance and, when this is not feasible, specific immunotherapy. Patient history remains the cornerstone of diagnosis, providing the foundation for diagnostic algorithms. Extract-based tests, such as skin prick tests and specific IgE measurements, are essential for confirmation and screening. However, traditional extract-based diagnostic methods have notable limitations, as they are unable to distingui...
Laparoscopic cryptorchidectomy in 10 equids using a single incision laparoscopic surgery (SILS) port device.
The Canadian veterinary journal = La revue veterinaire canadienne    September 1, 2025   Volume 66, Issue 9 966-973 
Muñoz AM, Cribb N.Minimally invasive laparoscopic surgical techniques are desirable in horses and other equids. A new approach called "modified single incision laparoscopic surgery (SILS) for equine cryptorchidectomy" is described, along with the postoperative outcomes of 10 equids. A SILS Port device (Covidien) was placed a 30- to 40-millimeter incision in combination with 1 or 2 15-millimeter para-inguinal incisions to exteriorize the intra-abdominal testicles. Ten animals, 2 bilateral abdominal cryptorchid horses and 8 unilateral abdominal cryptorchid equids, underwent cryptorchidectomy using the SILS tech...
Stable microclimates and autonomic modulation in horses housed in different stable architectures during monsoon in a tropical environment.
Journal of equine veterinary science    September 1, 2025   Volume 154 105685 doi: 10.1016/j.jevs.2025.105685
Poochipakorn C, Sanigavatee K, Leelehapongsathon K, Wonghanchao T, Chanda M.The impact of climate conditions and stable design on horses housed in individual stalls plays a significant role in their well-being, especially in tropical climates. Limited information exists regarding their conditions during the monsoon season. Objective: This study focused on the stable microclimate and autonomic regulation of horses kept in different stable architectures during the monsoon in a tropical setting. Methods: Twenty-two horses were assigned to one of three stable designs, each offering unique microclimates, including relative humidity, air temperature, and various levels of n...
Mutation rate and spectrum of germline de novo mutations in a closed population of Thoroughbred horses.
Journal of equine veterinary science    September 1, 2025   Volume 154 105682 doi: 10.1016/j.jevs.2025.105682
Furukawa R, Tozaki T, Mizukami K, Iwasaki Y, Kawate K, Kikuchi M, Ishige T, Momozawa Y, Fukui E, Kakoi H.Thoroughbreds have been maintained as a closed breed for over 300 years since the crossbreeding between Arabian stallions and English mares. Despite interest in germline de novo mutations across species, their frequency in horses, particularly in Thoroughbreds, remains largely unexplored. Objective: This study aimed to identify de novo mutations in Thoroughbreds and estimate their frequency within a genetically closed population. Methods: We performed deep whole-genome sequencing (≥230× depth, 150 bp paired-end reads) and Sanger validation in a Thoroughbred trio (sire, dam, and foal). Reads...
Microbial profile of post-breeding endometritis in Arabian mares from the Al-Hira District, Iraq.
Open veterinary journal    August 31, 2025   Volume 15, Issue 8 3670-3676 doi: 10.5455/OVJ.2025.v15.i8.30
Alfatlawy HJ. in Arabian mares poses a significant reproductive challenge, necessitating proper pathogen identification and antimicrobial susceptibility determination. Unassigned: To investigate the prevalence of intrauterine pathogens and their antimicrobial susceptibility patterns in Arabian mares with postbreeding endometritis. Unassigned: Seventeen Arabian mares were examined clinically and ultrasonographically. Uterine swabs were collected for bacterial isolation and antimicrobial susceptibility testing. Unassigned: Clinical endometritis was detected in 29.4% of the mares. Ultrasonographic examination...
Autologous conditioned serum IRAP efficacy for tendon and ligament injuries in horses: An observational study.
Open veterinary journal    August 31, 2025   Volume 15, Issue 8 3787-3793 doi: 10.5455/OVJ.2025.v15.i8.43
Tommasa SD, Raspe S, Farí G, Imperante A, Brehm W.Tendon and ligament injuries in equine athletes pose significant challenges, often leading to prolonged recovery, reduced performance, and increased risk of reinjury. Current treatment strategies, including conservative and surgical approaches, have shown limited success in fully restoring tendon integrity. Autologous blood derivatives, such as autologous conditioned serum (ACS), have emerged as potential regenerative therapies. However, the clinical efficacy of ACS in the treatment of equine tendinopathies remains under investigation. Unassigned: This study aimed to compare the clinical outco...
Effect of Long-Term Freezing on Indirect Fluorescent Antibody Titers for the Diagnosis of Equine Protozoal Myeloencephalitis.
Journal of veterinary internal medicine    August 30, 2025   Volume 39, Issue 5 e70225 doi: 10.1111/jvim.70225
Valderrama-Martinez C, Packham A, Smith W, Mendoza-Flores JE, Zheng S, Chigerwe M, Plancarte M, Aleman M.Long-term freezing storage can alter the stability of proteins, thereby compromising accurate determination of indirect fluorescent antibody test (IFAT) titers that support the diagnosis of equine protozoal myeloencephalitis. Objective: Assess the effect of long-term storage at -80°C on IFAT against S. neurona and N. hughesi in equine serum and cerebrospinal fluid (CSF). Methods: Paired serum and CSF (n = 46), and serum only (n = 25) samples. Methods: Prospective study of samples stored 6-12, 13-18, and 19-24 months. Comparing antibody titers across time points, McNemar and Wilcoxon...
Fistulous withers causing spinal epidural abscess in a Thoroughbred mare.
Journal of equine veterinary science    August 30, 2025   Volume 154 105680 doi: 10.1016/j.jevs.2025.105680
Ceriotti S, Clark-Price S, Cole R, Kramer A, Sandey M, Mora M.This case describes a 15-year-old Thoroughbred mare with fistulous withers that progressed to vertebral osteomyelitis and spinal epidural abscess (SEA), a severe complication that has yet to be reported. Initially treated with antibiotics and anti-inflammatory medication, the mare developed acute hindlimb ataxia and spastic paresis, suggesting spinal cord compression at T3-L3. Diagnostic imaging revealed vertebral fractures and abscessation, but vertebral canal involvement could not be confirmed. Despite aggressive medical therapy, including antimicrobials, corticosteroids, and neuroprotective...
Retrospective Evaluation of Neutrophil-to-Lymphocyte Ratio in Horses That Required Emergency Laparotomy: 341 Cases of Noninfectious Causes of Gastrointestinal Colic (2019-2024).
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    August 30, 2025   Volume 35, Issue 4 378-385 doi: 10.1111/vec.70023
Migliorisi A, Nottle B, Smanik LE, Nout-Lomas YS, Hassel DM.To (1) compare total nucleated cell count (TNCC) and neutrophil-to-lymphocyte ratio (NLR) at admission between horses with medically managed, large intestinal (LI) and small intestinal (SI) surgical colic; (2) compare TNCC and NLR between survivors and nonsurvivors; and (3) investigate associations between TNCC, NLR, surgical intervention, and outcome. Methods: Case-control study. Methods: Single, academic institution. Methods: A total of 341 adult horses diagnosed with noninfectious medical or surgical colic. Results: Admission TNCC did not differ between the medical and combined surgical gro...
Genetic and serological analyses of equine influenza viruses isolated in Kumamoto and Hokkaido, Japan in 2025.
Veterinary microbiology    August 30, 2025   Volume 310 110701 doi: 10.1016/j.vetmic.2025.110701
Nemoto M, Kawanishi N, Kamei R, Furusho K, Kawauchi K, Yabuuchi Y, Oue Y, Uchida Y, Nishiura H, Reedy SE, Chambers TM, Li F, Bannai H, Yamanaka T....In April and May 2025, outbreaks of equine influenza occurred for the first time in 17 years in Japan. Equine influenza virus (EIV) of the H3N8 subtype was mainly detected in heavy draft horse populations in Kumamoto Prefecture and the Tokachi area of Hokkaido. In total, 10 EIVs were isolated from infected horses and then were used for genetic and serological analyses. Phylogenetic analysis of all eight genes revealed that all Japanese isolates were clustered with the Florida sublineage clade 1 (Fc1) viruses and were closely related to North American Fc1 viruses detected in 2024-2025. The resu...
Effects of vitamin E and selenium supplementation on oxidative stress parameters and marker of genomic instability in show jumping equines exposed to different sources of atmospheric pollution.
Environmental monitoring and assessment    August 29, 2025   Volume 197, Issue 9 1058 doi: 10.1007/s10661-025-14509-1
Dos Santos Gomes V, Dos Santos Marques JV, da Silva GN, Marmett B, Dallegrave E.The inhalation of pollutants from fossil fuel combustion increases oxidative stress and may cause genotoxic damage, a risk heightened during physical exercise due to increased respiratory rates. This concern extends to equines engaged in intense activities like show jumping. Antioxidant supplementation with vitamin E and selenium may mitigate oxidative stress induced by exercise in polluted environments. This study evaluated the effects of oral supplementation on show jumping horses subjected to physical exertion in urban (n = 10) and peri-urban (n = 10) areas with varying pollution le...
The Effect of Girth Design and Girth Tension on Saddle-Horse Pressures and Forelimb Stride Kinematics in Rising Trot.
Animals : an open access journal from MDPI    August 29, 2025   Volume 15, Issue 17 2540 doi: 10.3390/ani15172540
Marlin D, Randell O, Mayhew E, Blake R.The aim of this study was to investigate the effect of girth design and girth tension; six horses regularly ridden were used. Each horse underwent four experimental sessions in an unbalanced Latin-square design with two girth tensions (8 kg or 16 kg) and two girth designs (straight girth (S) or anatomical girth (A)). Pressure between the saddle and the horse was measured at 100 Hz with a pressure mat (0.5 sensels per cm). Notably, 2D limb kinematics were determined from anatomical markers placed on the fore and hindlimbs. Video was collected at 240 fps. There was no significant effect of girth...
Isolation of major bacterial species associated with equine skin wounds and in-vitro antibacterial activities of selected medicinal plants.
Scientific reports    August 29, 2025   Volume 15, Issue 1 31942 doi: 10.1038/s41598-025-01062-7
Beshir A, Kemal J, Abraha B, Tola EH.Wounds on the skin are a common health issue affecting working equines. This study aimed to evaluate the in-vitro antibacterial properties of crude methanolic extracts from selected medicinal plants against pathogens isolated from equine skin wounds in Merti district. Agar well and disc diffusion tests were used to determine the mean zone of inhibition, while broth dilution methods were used to determine the minimum inhibitory concentrations and minimum bactericidal concentrations (MBCs), further confirming the potent antibacterial effects of the selected medicinal plant extracts. One way anal...
Scoping review of comminuted fractures of the proximal phalanx in horses.
Equine veterinary journal    August 29, 2025   doi: 10.1111/evj.70077
de Chaisemartin C, Vandeweerd JM, Schramme M.Comminuted fractures of the proximal phalanx (CFPP) occur in adult horses. Various treatments have been described. It remains uncertain which is the best therapeutic option. Objective: This study aims to review systematically the existing literature on CFPP in horses, evaluate treatment modalities, synthesise outcomes to assess treatment efficacy and survival rates, and identify knowledge gaps for future research. Methods: Scoping review. Methods: A literature search was conducted using online databases. The bias quality of each article was evaluated. Chi-squared analysis was used to detect di...