Quiroz-Rothe, E., Novales, M., Aguilera-Tejero, E., & Rivero, J. L. L. (2002). Polysaccharide storage myopathy in the M. longissimus lumborum of showjumpers and dressage horses with back pain. Equine Vet J, 34(2), 171–176. Abstract: This study was designed to investigate whether horses with clinical signs of back pain due to suspected soft tissue injuries were affected by polysaccharide storage myopathy (PSSM). Diagnosis of PSSM in muscle biopsies obtained from the M. longissimus lumborum of 5 showjumpers and 4 dressage horses with a history of back pain is reported. M. longissimus lumborum biopsies of these horses were characterised histopathologically and in 3/9 cases also by electron microscopy. Observations were compared with M. gluteus biopsies of the same horses, and with M. gluteus biopsies obtained from 6 Standardbreds with recurrent exertional rhabdomyolysis and from 6 healthy trotters. M. longissimus biopsies from horses with back pain showed pathognomonic signs of PSSM, i.e. high glycogen and/or abnormal complex amylase-resistant polysaccharide deposits. Similar features were found in M. gluteus biopsies of the same horses. Sections of horses with rhabdomyolysis had increased PAS stain when compared with healthy horses, but did not show amylase-resistant material. Qualitative observations were corroborated by quantitative histochemistry (optical densities) of sections stained with PAS and amylase PAS. This study demonstrated the presence of PSSM in the M. longissimus of showjumpers and dressage horses with back pain and indicates that epaxial muscle biopsy is an option in diagnosing back problems in horses when clinical examination and imaging techniques do not provide a precise diagnosis. Keywords: Amylases/analysis; Animals; Back Pain/etiology/veterinary; Biopsy; Carbohydrate Metabolism, Inborn Errors/diagnosis/pathology/veterinary; Diagnosis, Differential; Glycogen/analysis; Horse Diseases/diagnosis/pathology; Horses; Microscopy, Electron; Muscle, Skeletal/pathology; Muscular Diseases/diagnosis/pathology/veterinary; Polysaccharides/*metabolism; Rhabdomyolysis/diagnosis/pathology/veterinary Permanent link \| Save citation: RTF
Westerduin, F. E., Lankveld, D. P. K., van der Velden, M. A., Back, W., & Sloet van Oldruitenborgh-Oosterbaan, M. M. (2003). [Splenectomy in a dressage pony: end of sports career?]. Tijdschr Diergeneeskd, 128(13), 406–411. Abstract: A 14-year-old Arabian cross-bred gelding was referred to the University Clinic because of mild, recurrent signs of colic for 5 days. The pony showed icteric mucous membranes, haemolytic blood, and dark coloured urine. Internal examination did not give a clear diagnosis. Unidentified intra-abdominal strands were found and haemorrhagic abdominocentesis led to the decision to perform an exploratory laparatomy. An extremely enlarged spleen was the sole finding. A splenal biopsy sample was taken and surgery was completed. The pony remained colicky, so the spleen was examined by ultrasonography. After this examination, the tentative diagnosis 'tumour of the spleen' was made and splenectomy was performed. Pathological examination of the spleen revealed splenomegaly caused by infarctions of unknown origin. Eight weeks after surgery, the pony started again in dressage competition. Six months after splenectomy, the pony won the provincial dressage competition. Keywords: Animals; Biopsy/veterinary; Colic/surgery/veterinary; Horse Diseases/pathology/surgery/ultrasonography; Horses; Laparotomy/veterinary; Male; Splenectomy/veterinary; Splenomegaly/surgery/ultrasonography/veterinary; Sports Permanent link \| Save citation: RTF

Abstract: This study was designed to investigate whether horses with clinical signs of back pain due to suspected soft tissue injuries were affected by polysaccharide storage myopathy (PSSM). Diagnosis of PSSM in muscle biopsies obtained from the M. longissimus lumborum of 5 showjumpers and 4 dressage horses with a history of back pain is reported. M. longissimus lumborum biopsies of these horses were characterised histopathologically and in 3/9 cases also by electron microscopy. Observations were compared with M. gluteus biopsies of the same horses, and with M. gluteus biopsies obtained from 6 Standardbreds with recurrent exertional rhabdomyolysis and from 6 healthy trotters. M. longissimus biopsies from horses with back pain showed pathognomonic signs of PSSM, i.e. high glycogen and/or abnormal complex amylase-resistant polysaccharide deposits. Similar features were found in M. gluteus biopsies of the same horses. Sections of horses with rhabdomyolysis had increased PAS stain when compared with healthy horses, but did not show amylase-resistant material. Qualitative observations were corroborated by quantitative histochemistry (optical densities) of sections stained with PAS and amylase PAS. This study demonstrated the presence of PSSM in the M. longissimus of showjumpers and dressage horses with back pain and indicates that epaxial muscle biopsy is an option in diagnosing back problems in horses when clinical examination and imaging techniques do not provide a precise diagnosis.

Keywords: Amylases/analysis; Animals; Back Pain/etiology/*veterinary; Biopsy; Carbohydrate Metabolism, Inborn Errors/diagnosis/pathology/*veterinary; Diagnosis, Differential; Glycogen/analysis; Horse Diseases/*diagnosis/pathology; Horses; Microscopy, Electron; Muscle, Skeletal/pathology; Muscular Diseases/diagnosis/pathology/*veterinary; Polysaccharides/*metabolism; Rhabdomyolysis/diagnosis/pathology/veterinary

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Abstract: A 14-year-old Arabian cross-bred gelding was referred to the University Clinic because of mild, recurrent signs of colic for 5 days. The pony showed icteric mucous membranes, haemolytic blood, and dark coloured urine. Internal examination did not give a clear diagnosis. Unidentified intra-abdominal strands were found and haemorrhagic abdominocentesis led to the decision to perform an exploratory laparatomy. An extremely enlarged spleen was the sole finding. A splenal biopsy sample was taken and surgery was completed. The pony remained colicky, so the spleen was examined by ultrasonography. After this examination, the tentative diagnosis 'tumour of the spleen' was made and splenectomy was performed. Pathological examination of the spleen revealed splenomegaly caused by infarctions of unknown origin. Eight weeks after surgery, the pony started again in dressage competition. Six months after splenectomy, the pony won the provincial dressage competition.