The Veterinary clinics of North America. Equine practice2024; S0749-0739(24)00074-9; doi: 10.1016/j.cveq.2024.07.015

Paraneoplastic Syndromes in Horses.

Abstract: This article discusses the reported paraneoplastic syndromes (PNSs) in horses, including the possible pathogenesis, diagnostic methods, and any treatment options. The more commonly reported PNSs in horses include cancer anorexia and cachexia, fever and increased acute phase protein concentrations, and hypercalcemia and monoclonal gammopathy. As these conditions can often be more commonly diagnosed in non-neoplastic conditions, the diagnosis of a PNS and the accompanying neoplasia can be challenging. As signs of a PNS may precede signs of the underlying neoplasia, it is important that the clinician be aware of the possible presence of a PNS.
Publication Date: 2024-08-20 PubMed ID: 39168749DOI: 10.1016/j.cveq.2024.07.015Google Scholar: Lookup
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Summary

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The research article presents a study on paraneoplastic syndromes (PNSs) in horses, specifically looking at the possible causes, detection methods, and treatments. These syndromes, often associated with cancer and its side effects, include symptoms like loss of appetite and weight, fever, high protein concentrations, and abnormal calcium levels and immune responses, which can often make PNS detection difficult due to overlaps with non-cancerous ailments.

Paraneoplastic Syndromes (PNSs)

  • The research discusses PNSs in horses. These syndromes occur when cancer causes unusual symptoms due to the impact of the malignant cells on the body. It differs from the direct damage caused by the cancer.
  • Some of the most frequently reported PNSs include cancer anorexia and cachexia (characterized by severe muscle wasting and loss of appetite), fever and increased acute phase protein concentrations (indicating inflammation or injury), and hypercalcemia and monoclonal gammopathy (featuring high calcium levels and abnormal immune response).

Diagnosis Challenges

  • The diagnosis and detection of PNS and the associated neoplasia (abnormal growth or tumors) can be challenging given that several existing non-cancerous conditions can also lead to similar symptoms.
  • For instance, a horse might experience anorexia or weight loss due to other underlying health issues or show an increase in acute phase protein concentrations due to certain infections or inflammations – these would not necessarily indicate a PNS.

The Importance of Clinician Awareness

  • Given that PNSs might present signs before the underlying neoplasia begins to show, it becomes vital for the veterinarian or clinician to be aware of the possibility of a PNS.
  • With timely and correct diagnosis, the clinician can then ensure the appropriate treatment for the horse’s condition.

Cite This Article

APA
Johns I. (2024). Paraneoplastic Syndromes in Horses. Vet Clin North Am Equine Pract, S0749-0739(24)00074-9. https://doi.org/10.1016/j.cveq.2024.07.015

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
PII: S0749-0739(24)00074-9

Researcher Affiliations

Johns, Imogen
  • B and W Equine Hospital, Breadstone, Berkeley, Gloucestershire GL139HG, UK. Electronic address: imogen.johns@bwequinevets.co.uk.

Conflict of Interest Statement

Disclosure The author has no conflicts to disclose.

Citations

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