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Pituitary pars intermedia dysfunction, or Cushing's disease, is common in older horses and ponies and causes an increased predisposition to laminitis. Equine metabolic syndrome is a subject of much new research and is increasingly believed to have a major role in laminitis.
Pituitary pars intermedia dysfunction (PPID), or equine Cushing's disease, is an endocrine disease affecting the pituitary gland of horses. It is most commonly seen in older animals, [ 1 ] and is classically associated with the formation of a long, wavy coat ( hirsutism ) and chronic laminitis .
As with laminitis, different horses may respond in different ways to a given technique, so the farrier, owner, and veterinarian should work as a team to formulate a plan and to adapt if the initial plan is not effective. People who choose to treat navicular disease through shoeing may use a shoe designed to lift and support the heels. [13]
Lameness is most commonly caused by pain, but may also be the result of neuromuscular disease or mechanical restriction. Lameness itself is a clinical sign, and not a diagnosis. [2] Trauma is a common cause of lameness in horses.
EMS shares similarities to pituitary pars intermedia dysfunction (also known as equine Cushing's disease), which also causes regional adiposity, laminitis, and sometimes insulin resistance. Treatment and management differ between the conditions, making it important to distinguish between the two.
Support limb laminitis, which is the specific type Barbaro had, is caused by over-stressing the good leg during recovery from an injury in the opposite limb. [15] [16] A 1986 survey done by the Morris Animal Foundation found that laminitis was the fourth leading cause of death among horses. [17]
The treatment of equine lameness is a complex subject. Lameness in horses has a variety of causes, and treatment must be tailored to the type and degree of injury, as well as the financial capabilities of the owner. Treatment may be applied locally, systemically, or intralesionally, and the strategy for treatment may change as healing progresses.
Horses are also susceptible to laminitis, a disease of the lamina of the hoof. Laminitis has many causes, but the most common is related to a sugar and starch overload from a horse overeating certain types of food, particularly too much pasture grass high in fructan in early spring and late fall, or by consuming excessive quantities of grain. [77]