Hives – harmless or life-threatening?

If your horse suddenly looks like it has run through hundreds of stinging nettles or been bitten by a swarm of mosquitoes, it could be hives, also known as urticaria. Triggered by certain stimuli, this excessive reaction of the immune system causes hundreds of small, round, raised swellings, known as wheals, to form on the horse's skin. In most cases, this rash disappears quickly once the cause has been treated.

INHALT
Symptoms Origin and causes Diagnosis Treatment Forecast
Symptoms

Hives are characterized by the sudden appearance of wheals. Before this occurs, the horse may show signs of restlessness, but these often go unnoticed. The owner usually only notices the full rash. Within a very short time, the entire body is covered with round swellings of varying sizes, some of which are so close together that they appear to form a flat surface. The wheals are particularly noticeable on the neck and trunk. They can change shape, disappear, and reappear immediately. In individual cases, the wheals can also spread in a striped pattern. Rarely, the condition is accompanied by itching, which, if at all, occurs mainly in the initial phase. The general condition of affected horses is usually unaffected, unless the mucous membranes in the head or anal area are involved, which is rather unusual in horses. In rare cases, the wheals are so severe that these horses experience elevated body temperature and fatigue. If the hives persist for a long time, clear fluid may leak from the wheals, which dries on the skin surface and forms crusts.

Origin and causes

Hives are the result of an allergic reaction that can be triggered by various stimuli. The horse's immune system reacts to these stimuli, as it would to a mosquito bite, by releasing histamine, a messenger substance in the body's inflammatory response, which leads to the swelling of the skin described above. Triggers can be both external and internal allergens, with the skin reaction to external stimuli usually limited to the site of the incident, while internal stimuli often lead to a spread throughout the entire body.

External stimuli:

  • Insect stings and bites (mosquitoes, caterpillars, horseflies, snakes)
  • Skin-irritating plants (nettles, thistles)
  • Chemicals (detergent residues in horse blankets)
  • External medications (ointments, creams, sprays)

Internal stimuli:

  • Feed ingredients
  • Medicines and their breakdown products
  • Inhalation allergens (mold spores, pollen)
  • Previous infectious diseases (glanders, strangles)
  • Stress, shock

Diagnosis

Based on the typical symptoms of the disease, making a diagnosis is usually straightforward, whereas identifying the cause proves much more difficult. In many cases, the trigger remains unknown.

Treatment

Depending on the cause, the wheals usually disappear on their own after 12 to 24 hours. Showering with cold water can speed up the disappearance of the hives. If there is no improvement or if symptoms such as fever, breathing difficulties, or apathy occur, a veterinarian must be consulted immediately. In rare cases, it may be necessary to use medication to slow down the immune system's response, especially if there is swelling in the head area. However, the most important thing is to eliminate the cause, if known. In the case of feed, an elimination process can be used to find out which food may have triggered the reaction.

Forecast

In general, the prognosis is good, as severe forms involving the respiratory mucosa or shock symptoms are extremely rare in horses. Rapid recovery can generally be expected once the triggering stimulus has been identified and eliminated.