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Three Horses

EQUINE

Welcome to the Equine NAVLE Notes: Internal Medicine section on AllVetsLink.

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This section provides comprehensive coverage of core equine internal medicine topics, including infectious diseases, gastrointestinal disorders, hepatic conditions, respiratory syndromes, and immune-mediated diseases. Each note is tailored to help you understand the pathophysiology, diagnostics, and treatments critical for NAVLE success and clinical practice.

Notes:

Overo Lethal White Foal Syndrome (OLWS)

Overo Lethal White Foal Syndrome (OLWS)

Overo Lethal White Syndrome (OLWS) is a fatal congenital disorder of foals characterized by an inherited mutation in the endothelin receptor type B (EDNRB) gene. This condition results in aganglionosis of the distal gastrointestinal tract, leading to functional intestinal obstruction, severe colic, and death within the first days of life. Affected foals typically present with an all-white coat, blue eyes, and clinical signs of ileus shortly after birth. OLWS is most commonly associated with the frame overo coat pattern and follows an autosomal recessive inheritance. Early recognition and genetic screening in breeding programs are critical to preventing this lethal syndrome.

Aortic Valve Degeneration

Aortic Valve Degeneration

🫀 Aortic Valve Degeneration in Horses 🫀 Aortic valve degeneration is a progressive condition in horses characterized by thickening, fibrosis, and dysfunction of the aortic valve leaflets, often leading to aortic regurgitation. This valvular insufficiency results in chronic volume overload of the left ventricle, eccentric hypertrophy, reduced cardiac output, and eventual heart failure. Horses may initially present with exercise intolerance and a diastolic murmur, progressing to arrhythmias and clinical signs of left-sided heart failure. Early diagnosis and appropriate management are essential to slow disease progression and mitigate complications such as atrial fibrillation or sudden death.

Cardiovascular Conditions in Horses

Cardiovascular Conditions in Horses

💓 Comprehensive Information for NAVLE Preparation: Cardiovascular Conditions in Horses 💓 In this guide, you'll find in-depth, professionally structured information on the most relevant cardiovascular diseases affecting horses—from arrhythmias like atrial fibrillation to valvular disorders like aortic insufficiency. Each condition is detailed with definitions, pathophysiology, diagnostic strategies, clinical signs, and treatment protocols, including medications with classifications and mechanisms of action. This is your go-to resource to confidently master equine cardiology for the NAVLE. 🩺🐎

Equine Immune-Mediated Hemolytic Anemia (IMHA)

Equine Immune-Mediated Hemolytic Anemia (IMHA)

Equine Immune-Mediated Hemolytic Anemia (IMHA) is a rare but potentially life-threatening condition characterized by the premature destruction of erythrocytes due to the horse’s own immune system targeting red blood cell antigens. IMHA can be primary (idiopathic) or secondary to infections, neoplasia, or drug exposure. Clinically, it presents with anemia, icterus, lethargy, and variable pyrexia. Diagnosis relies on hematologic evidence of hemolysis and supportive testing like the Coombs’ test.

Foal Neonatal Isoerythrolysis

Foal Neonatal Isoerythrolysis

Foal Neonatal Isoerythrolysis (NI) is an alloimmune hemolytic disease occurring in newborn foals when maternally derived antibodies, ingested through colostrum, target and destroy the foal’s red blood cells. It results from blood type incompatibility between the mare and foal, typically involving Aa and Qa erythrocyte antigens. Affected foals appear normal at birth but develop progressive anemia, icterus, and weakness within hours to days. Early recognition, appropriate testing, and prompt intervention are critical for survival.

Pupura Hemorrhagica

Pupura Hemorrhagica

Purpura hemorrhagica is an aseptic necrotizing vasculitis primarily linked to S. equi infection or antigens

Cushing's Disease in Horses
(Pituitary Pars Intermedia Dysfunction)

Cushing's Disease in Horses
(Pituitary Pars Intermedia Dysfunction)

Neonatal Isoerythrolysis (NI) is a life-threatening hemolytic disease of foals caused by ingestion of colostrum containing antibodies against the foal’s red blood cell antigens. This immune-mediated condition typically affects foals born to mares previously sensitized to foreign erythrocyte antigens, most commonly Aa or Qa.

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Equine Medicine FCs

NAVLE test sample questions

Question 1:
Which of the following best describes the inheritance pattern and genetic basis of Overo Lethal White Syndrome (OLWS) in foals?

A. X-linked recessive mutation in the MITF gene
B. Autosomal recessive mutation in the EDNRB gene
C. Autosomal dominant mutation in the KIT gene
D. Incomplete dominance due to a mutation in the PAX3 gene

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Question 2:
A newborn foal presents with an all-white coat, blue eyes, and severe colic within 18 hours of birth. No meconium has been passed. Which of the following conditions is most likely?

A. Combined immunodeficiency
B. Lethal white foal syndrome
C. Neonatal isoerythrolysis
D. Equine viral diarrhea

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Question 3:
Which of the following is the most appropriate method for preventing the birth of foals affected by Overo Lethal White Syndrome?

A. Radiographic screening of pregnant mares
B. PCR-based genetic testing of breeding stock
C. Serum IgG measurement in neonates
D. Administering oxytocin during parturition

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Scroll down to discover the answers and detailed explanations for the sample questions.

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Answer:

Answer 1:
B. Autosomal recessive mutation in the EDNRB gene

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Explanation:
OLWS is caused by a missense mutation (Ile118Lys) in the EDNRB (endothelin receptor B) gene, inherited in an autosomal recessive pattern. Homozygous foals (mutant/mutant) are non-viable and present with aganglionic megacolon, while heterozygous carriers are phenotypically normal but often exhibit the frame overo coat pattern. The mutation disrupts the migration of neural crest-derived cells, which affects both enteric nervous tissue and melanocytes. This pathogenesis is distinct from other white spotting syndromes like dominant white (KIT gene) or splashed white (PAX3).

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Answer 2:
B. Lethal white foal syndrome

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Explanation:
These are hallmark signs of Overo Lethal White Syndrome (OLWS). The foal appears normal at birth but rapidly deteriorates due to aganglionosis of the distal colon, leading to functional ileus, severe colic, and absence of meconium. The foal’s white coat and blue eyes, in conjunction with early colic signs and no fecal passage, are classic. Unlike neonatal isoerythrolysis or SCID, which present differently (icterus, immune issues), OLWS is always fatal without intervention, and euthanasia is typically recommended due to the poor prognosis.

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Question 3:
Which of the following is the most appropriate method for preventing the birth of foals affected by Overo Lethal White Syndrome?

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Explanation.

A. Radiographic screening of pregnant mares
B. PCR-based genetic testing of breeding stock
C. Serum IgG measurement in neonates
D. Administering oxytocin during parturition

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