title: History and clinical features of atypical myopathy in horses in Belgium (2000-2005).
abstract: BACKGROUND
  The emergent nature of atypical myopathy or atypical myoglobinuria (AM) necessitates precise description of its clinical and epidemiologic features.
  
  
  OBJECTIVE
  To define key features of AM to help practitioners recognize the disease and to advise owners to take preventive measures.
  
  
  METHODS
  Belgian cases of AM confirmed by histology (CC horses; n = 57) from autumn 2000 to spring 2005 were included in the study. Co-grazing horses (Co-G horses; n = 77) that remained free of any abnormal clinical signs constituted a control group.
  
  
  METHODS
  History, environmental characteristics, clinical signs, and laboratory results associated with AM were determined by a retrospective case series study.
  
  
  RESULTS
  Young horses in poor or normal body condition were found to be at risk for AM. Pastures were characterized by poor natural drainage and vegetation of low nutritional value. Features of AM were seasonal occurrence, apparent link with weather conditions (ie, lack of solar radiation with no heavy frost and an excess of precipitation or relative humidity), sudden onset of clinical signs, and rapid death. Evaluation of serum creatine kinase activity indicated severe muscle destruction in CC horses and subclinical disease in a few Co-G horses.
  
  
  CONCLUSIONS
  The association of AM with specific environmental conditions and individual animals suggests that young horses should not be pastured on bare premises subject to humidity when the weather has been very wet and cold for several days. Management of AM outbreaks should include control of Co-G horses who are apparently healthy.
authors.affiliation: Equine Teaching Hospital, Faculty of Veterinary Medicine, University of Liège, Bat. B41, Sart-Tilman, 4000 Liège, Belgium. dominique.votion@ulg.ac.be
authors.forename: Dominique-M
authors.initials: DM
authors.lastname: Votion
authors.forename: Annick
authors.initials: A
authors.lastname: Linden
authors.forename: Claude
authors.initials: C
authors.lastname: Saegerman
authors.forename: Patrick
authors.initials: P
authors.lastname: Engels
authors.forename: Michel
authors.initials: M
authors.lastname: Erpicum
authors.forename: Etienne
authors.initials: E
authors.lastname: Thiry
authors.forename: Catherine
authors.initials: C
authors.lastname: Delguste
authors.forename: Serge
authors.initials: S
authors.lastname: Rouxhet
authors.forename: Vincent
authors.initials: V
authors.lastname: Demoulin
authors.forename: Rachel
authors.initials: R
authors.lastname: Navet
authors.forename: Francis
authors.initials: F
authors.lastname: Sluse
authors.forename: Didier
authors.initials: D
authors.lastname: Serteyn
authors.forename: Gaby
authors.initials: G
authors.lastname: van Galen
authors.forename: Hélène
authors.initials: H
authors.lastname: Amory
mesh_terms: D000821:Animal Feed; D000822:Animal Husbandry; D000818:Animals; D001530:Belgium / Q000453:epidemiology; D005260:Female; D006734:Horse Diseases / Q000175:diagnosis* / Q000453:epidemiology; D006736:Horses; D008297:Male; D009135:Muscular Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000662:veterinary*; D009212:Myoglobinuria / Q000175:diagnosis / Q000453:epidemiology / Q000662:veterinary; D012189:Retrospective Studies; D014887:Weather