Data on fifty horses with hereditary equine regional dermal asthenia (HERDA; "hyperelastosis cutis") were collected on clinical, histopathological, ultrastructural and immunohistological findings. All horses were Quarter horses or of Quarter horse ancestry. Pedigree evaluation strongly supported an autosomal recessive mode of inheritance. The most common lesions were seromas/haematomas, open wounds, sloughing skin, and loose, easily tented skin that did not return to its initial position. Definitive diagnosis could not be made via histopathology, although the presence of tightly grouped thin and shortened collagen fibres arranged in clusters in the deep dermis was suggestive of the disease. Trichrome, acid orcein-Giemsa and immunohistochemical stains for collagens I and III showed no consistent abnormalities compared to control horses; an increase in elastic fibres was not a consistent finding. Electron microscopy showed no abnormalities in the periodicity of the collagen bundles; neither orientation nor variation of cross-section diameter of the collagen fibrils differentiated control from affected horses. The diagnosis of HERDA relies on clinical presentation, but may be supported by suggestive (although not pathognomonic) histopathological lesions.

Summary Fourteen privately owned horses completed a six month, controlled, double‐blind trial to assess the efficacy of immunotherapy using an aqueous extract of whole, unfed Culicoides variipennis in the treatment of Culicoides hypersensitivity. Selected horses had a history of a seasonal, pruritic dermatitis, clinical signs and distribution compatible with Culicoides hypersensitivity, failed to improve in response to ivermectin therapy, and reacted to several dilutions of Culicoides extracts without significant reactivity to other possible allergens including insects, moulds and feeds. One horse from the control group (n=8) and one from the test group (n=6) improved. Statistically, there was no significant difference between horses on Culicoides antigen and control horses. In each group, four owners thought that their horses had improved.

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