possible ER!

YorkshireLass

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Heres one for all you experts!

Does this ring a bell with anyone! Vet (not a horse specialist) is stumped.

Chunky 7yo cob mare.
Thought to have COPD... yet does not respond to treatment, traditional or homeopathic/herbal.
Overall weakness, muscular atrophy, sweats profusely when worked.... more than you would expect from even the most unfithorse!

The owner suspects that her breathing difficulties are not due to COPD as the horse did not respond to treatment, and the severity of it does not vary all year. The horse is not stabled.

Intermittent fore limb lameness, thought to be muscular (in Vet's opinion) Horse has atrophic muscles on the neck/shoulder.

The owner feels that the condition is something muscular that is making the horse weasy and sweaty, she seems exhausted.

This all made me think of ER. Anyone got an ER horse
 
if you think it may be muscular have the vet take a muscle biopsy and send it off to the RVC for analysis - maybe ER or various other myopathies? Either way a biopsy would rule either way.
 
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