What is our objective?

These pages are for an in-depth look at recognizing symptoms and diagnosing DSLD-ESPA in the Equine community.

Becoming familiar with all symptoms will help diagnose DSLD-ESPA, especially in vague early cases. A horse may show many or only a few symptoms. Often DSLD-ESPA horses are misdiagnosed as having WNV, EPM, or other neurological problems.

Individual cases presented on this site will include online video of symptoms, ultrasounds, diagnostic vet report, necropsy, how to harvest tissue for tissue diagnosis and tissue diagnosis results.

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Injury vs DE

The differences between injury and DE are:

1. Injury usually not bilateral, certainly not quadrilateral
2. If there is fetlock dropping, it occurs at the time of the injury, not as a late development
3. Injuries heal by a combination of tendon regeneration and scar tissue. While ultrasound appearance during an acute DE flare may improve somewhat as that settles down, they do not heal.
4. The enlargement seen in healed injured tendons and ligaments is from scar tissue and does not increase over time. It usually decreases. With DE, enlargement is progressive over time.
5. There is usually no obvious precipitating event with DE, such as racing or pasture accident. With injury there always is.

--Eleanor Kellon, VMD

Reference

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DSLD-ESPA in the Veterinary Community

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DSLD-ESPA in the Veterinary Community