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PICO question

In horses and ponies at risk of laminitis, does the use of hoof wall temperature and digital pulse pressure as diagnostic techniques for acute laminitis provide a method of detecting acute laminitis in the prodromal stage?

Clinical bottom line

  • A palpable bilateral increase in forelimb hoof temperature maintained for longer than half a day may indicate that the horse is 18–­24 hours from acute laminitis onset.
  • A period of increased digital pulse may also be expected up to 11 hours prior to onset.
  • Further studies using larger and more representative cohorts are required to confirm the accuracy of the times at which such changes can be expected.


Open Access Peer Reviewed