Chronic Progressive Lymphedema In Draft Horses - Veterinary Partner

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  - Nervous System: Brain, Nerves & Spinal Cord
    - Blood Testing for EPM in Horses
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  - Nutrition-related
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    - Frequency of Joint Injections in Horses
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    - Hock Arthrodesis with Ethyl Alcohol in Horses
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    - How Hind Hooves Are Trimmed Can Affect Your Horse’s Posture
    - Infrared Thermography for Diagnosing Lameness in Horses
    - Initial Treatment of Tendon Injuries in Horses
    - Is Hot or Cold Treatment Best for Horse’s Tendon Injury?
    - Lacerations to the Horse’s Hoof Wall
    - Lameness Evaluation in Horses
    - Laminitis in Donkeys
    - Longeing’s Potential Effect on Your Horse’s Joints
    - Lower Leg Problems in Newborn Foals
    - Muscular Disorders in Athletic Horses
    - Navicular Bursal Injection in Horses
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    - Neck Pain in Horses
    - Nutritional Tips to Prevent Tying Up Syndrome in Your Horse
    - Palmar Foot Pain in Horses
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    - Physitis in Young Horses
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    - Rehabilitation of Tendon Injuries in Horses
    - Rein Lameness in Horses
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    - Seasonal Pasture Myopathy in Horses
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    - Tendon Injury Treatments for Horses
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    - Treating Clubfoot in Horses
    - Tying up in Quarter Horses and Other Breeds
    - Upward Fixation of the Patella is Common in Horses
    - Using Bisphosphonates to Treat Navicular Disease in Horses
    - Using Prednisolone in Horses with Laminitis and Founder
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    - Best Grazing Time for Horses
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Chronic Progressive Lymphedema in Draft Horses Copy Title & URL Bob Judd, DVM, DABVP (Equine Medicine), DABVP (Canine and Feline Practice)Courtesy of Texas Farm Bureau Radio Network Revised: February 15, 2017Published: March 23, 2015

Chronic progressive lymphedema is a serious and difficult disease in draft horses, and is characterized by progressive swelling, increased thickness of the skin called hyperkeratosis and scarring of the distal limbs. The veterinary staff at UC Davis indicates the disease starts at an early age and progresses throughout the horse's life, which eventually leads to disfigurement and premature death. The disease and clinical symptoms are similar to a disease in humans called elephantiasis.

The lower leg swelling is caused by abnormal functioning of the lymphatic system, which results in chronic swelling, scarring, decreased immunity and chronic infections of the skin. The disease starts out as small skin infections on the lower legs that are not uncommon, called scratches, and after clipping the long feathers many times the infection is much more severe than expected and large areas of the skin are thickened with crusts. Also, many of these horses have a mite called Chorioptes that further increases the inflammation and infection. As the crusts and skin folds enlarge, large nodules can develop that cause mechanical difficulty in walking, and the infections continue to increase as they are usually resistant to antibiotics.

Unfortunately, there is no cure for the condition and managing the condition is the most that can be expected. Treatment includes clipping the feathers off of the legs to allow for topical medication. Since the horses have large nodules and scarring on the lower legs, the blood supply is decreased, which makes it difficult to treat the skin infections. If you have a draft horse with this syndrome, ask your veterinarian about treatment options.

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