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Allergen Positive reactions<br />

Mosquito (Culicidae) 2/11<br />

Blackfly (Simulidae) 3/11<br />

Horsefly (Tabanidae) 2/11<br />

Culicoides spp 6/13<br />

10-fold dilution 6/13 (1)<br />

100-fold dilution 4/13<br />

Delayed reactions in parentheses and underlined<br />

All horses showed at least two immediate positive reactions; in some cases reactions<br />

were not evident until the 4-hour time point. Twelve horses showed delayed<br />

(>24hour) reactions, not necessarily preceded by immediate or late-immediate<br />

reactions. Two horses reacted to all allergens tested; in both cases the negative<br />

control did not produce a wheal reaction, nor did application <strong>of</strong> mechanical pressure,<br />

ruling out dermatographism as the cause <strong>of</strong> the multiple reactions. Reactions to mite<br />

extracts were common; only 2 horses (8.3%) showed no reactions to any mite<br />

species. Dust mite reactions were seen in 20/24 (83.3%); 58.3% reacted to both dust<br />

and forage mites, 25% to dust mites alone. Two horses reacted to forage mites but<br />

not dust mites. Housedust reactions were also common, occurring in 81% <strong>of</strong> cases.<br />

Reactions to epithelial extracts were also frequent; 54.2% reacted to human dander,<br />

33.3% to sheep and 12.5% to cats; in all <strong>of</strong> the latter cases t<strong>here</strong> were yard cats that<br />

had access to the stables and tack rooms and <strong>of</strong>ten slept on rugs or in the stables.<br />

Feather reactions were also quite common (37.5%), including two delayed reactions;<br />

two cases improved dramatically following removal <strong>of</strong> birds nests and preventing<br />

further access <strong>of</strong> birds, with complete resolution <strong>of</strong> skin disease without any other<br />

interventions.<br />

The majority <strong>of</strong> cases showed reactions to pollens; 10/24 (41.7%) did not. Weed<br />

pollen reactions were the most common - seen in 13 horses (54.2%), with nine<br />

(37.5%) having reactions to tree pollens and five (20.8%) to grasses. In a number <strong>of</strong><br />

cases the history suggested that exposure to grass and weed pollens in meadow hay<br />

were relevant. A few positive reactions to each <strong>of</strong> the moulds were noted. A<br />

considerable number <strong>of</strong> cases showed reactions to cereal smuts – 41.7% to barley<br />

smut, 41.7% to oat smut and 34.8% to wheat smut.<br />

Six horses developed immediate and delayed reactions to biting insects, particularly<br />

Culicoides. Horses with reactions to mosquito, blackfly and horsefly extracts were also<br />

positive to Culicoides. All <strong>of</strong> these cases had a history <strong>of</strong> clinical signs consistent with<br />

“sweet itch”, but all showed additional symptoms that were not typical <strong>of</strong> summer<br />

recurrent seasonal hypersensitivity. Together with two further cases that had<br />

consistent history and clinical signs but were not tested with insect extracts, these<br />

horses were considered to be suffering from both atopic dermatitis and insect bite<br />

hypersensitivity (33.3% <strong>of</strong> cases).<br />

Reference:<br />

Littlewood JD, Paterson S, & Shaw SC. (1998) Atopy-like skin disease in the horse. Advances<br />

in <strong>Veterinary</strong> Dermatology 3, p563<br />

ACVSC Proceedings Dermatology Chapter Science Week 2005 35

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