Steroid induced laminitis in a 17hh tb!

Jim bob

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My horse was diagnosed with a condition called Leukocytoclastic Vasculitis by my vet in late May.

Since then we have tried a few things, bute and antibiotics and covering his legs while in the field to steroid cream. Around 3 weeks ago, after my vet did a blood test to check his liver which came back clear. My vet suggested oral steroids, he said he had to make me aware of the risk of laminitis. But give my boy is a 17hh poor doer tb, who was already on the skinny side , my vet was suggesting the risk was low so 'should be fine'.

To start of with my boy spent time in a sectioned bit of our big field, slowly I built up the amount of time he was with the bigger part of the field with the other horses. He still spent more then half the time in the sectioned of bit of the field. Around two weeks ago. I noticed his pulses were very strong, so I kept him in that night with soaked hay and rang the vet, even though it was a Sunday afternoon to see whether I should still give him the steroids, the vet said not to and to speak to the vet overseeing my horses care the following day. I spoke to the vet the following day who said they needed to see him the following day.

So the vet came down , watched him turn 2 tight circles , felt his pulses and his feet, trotted him up and went around with his hoof testers. He told me he thought my horse didn't have laminitis. But to half the dose of steroids he was on, turn him back out and worked lightly in a weeks time. I spoke to my vet this week to update him on how he was doing, he said to increase the steroids a little more and to start light hacking. However that night, my horse came in from the field pottering, his feet were quite warm and pulses were very fast but not strong. I kept him in and with soaked hay and didn't give him the steroids that night, spoke to my farrier that night and he said I can keep him in to play it safe, the vets were all in surgery.

The following day ( today) my farrier came down and said In terms of grass induced laminitis he can advise but with drug induce he didn't really know what to do . Which is fine atleast he was honest. I rang the vet today, updated him on how he was and said sorry for ringing him twice in two days! My vet told me to stop the steroids for the weekend, said he can go back out in the field. But if he is very sore, stable him and they will review him next week.

Anyone have any thoughts or experiences of this?
 
I am so sorry to read this. As you know my lad has gone through the same recently. He is 17.2 and my vet only gave him 2 steriod jabs for fear of laminitis, he is cushings as well.

I really hope you get through this successfully.
 
Thanks!
My vet does sound quite positive and said that will with get through it one day. His legs are starting to heal which is good. But its just the risk of laminitis that is a massive worry for me .
 
What dose of steroids was he on? My pony was on a large dose of steroids ( 500mg a day- max dose is normally 1mg per kg - my pony weighed less than 400kg ) for at least 2 mths. He had a skull fracture that was causing neurological issues and although he was at risk of laminitis it was a risk we took as in my ponys case it was which was likely to be fatal first- brain damage or laminitis. It was winter when he had them and wasnt on much grass and due to his injury was on other drugs too and was having molasses in his feeds to ensure he ate his meds. He didnt get laminitis but he did suffer a bout of of colic which we put down to the drugs he was on. The risk of laminitis with oral steroids is much less than with iv or intra articular steroids but there is still a risk. Could there be another underlying reason causing the digital pulses and potteryness?
 
He is on the correct amount for his body weight he was getting 4 scoops to start of with . Then he went down to 2 scoops now he isn't on anything for the weekend. There could be I suppose. However before all this he was sound and was jumping ( he has had lameness issues in the past though)
 
My farrier still blames my then vet for me losing a 17hh Shire to medication induced laminitis, amongst other things, the vet told me to turn her out. When the farrier saw her in the field he said some very rude things about the vet. The poor horse should have been kept in on a supportive shavings bed but the vet hadn't even recognised that she had laminitis (or if he did he didn't want to say so). I would keep your horse in.
 
Thank you for the advice. I spoke to my vet the following day regarding my horses presentation. He advised me to stop the medication ( this was on the Friday) for the weekend, as a break, if he became really sore then to stable and he would review him next week. However if not , turn him out ( My horse has recently moved into another field) my horse is kept in a small sectioned off bit of the field and again I have been advised to restart the meds early next week.
 
I have never seen this in my own horses but know someone who horses has suffered this recently it's left the horse impaired ( it's a young competition horse ).
I know it's something the vets always warn you about.
My approach would always be if I had any suspicion I would always err on the side of caution and keep the horse stabled and apply frog supports.
 
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