Pituitaryparsintermediadysfunction(PPID)isprobablythemostcommondis -easeofgeriatrichorses.Affectedhorsesshowavarietyofclinicalsigns,includ -ing hirsutism, polyuria/polydipsia, immunosuppression, muscle wasting, andlaminitis.ThemostcommontreatmentforPPIDispergolide,adopamineago -nist;however,therearenopharmacokineticdataabouttheuseofthisdruginhorses.Thisarticledescribesastudydesignedtoaddressthiscompletelackofpharmacokinetic information. The pharmacokinetics of pergolide are describedinasmallgroupofrelativelyyoung,healthymares(

Pituitary pars intermedia dysfunction (PPID) is probably the most common disease of geriatric horses. Affected horses show a variety of clinical signs, including hirsutism, polyuria/polydipsia, immunosuppression, muscle wasting, and laminitis. The most common treatment for PPID is pergolide, a dopamine agonist; however, there are no pharmacokinetic data about the use of this drug in horses. This article describes a study designed to address this complete lack of pharmacokinetic information. The pharmacokinetics of pergolide are described in a small group of relatively young, healthy mares (n = 6), with the objective of generating data on which to base larger studies in the future. To make definitive dosing recommendations to clinicians, more studies will be needed to investigate the relationship between plasma pergolide concentrations and clinical outcomes, as well as the effect of gender, age, and concomitant disease on the absorption and disposition of this drug.

A 3-year-old Quarter Horse mare was presented for acute colic with bright red-black foul-smelling gastric reflux containing long rod-shaped bacteria consistent with Clostridium sp. and red-black urine. The serum creatinine concentration was 5.5mg/dL (N=0.9–1.7), and blood urea nitrogen was 41mg/dL (N=9–20). At necropsy, the stomach wall was diffusely thickened, hemorrhagic, and edematous. Histopathologically, hemorrhagic necrosis was evident, with numerous colonies of spore-forming rods within the submucosa. Clostridium perfringens was cultured from the stomach contents. Polymerase chain reaction (PCR) genotyping was consistent with type A C. perfringens. Bilaterally, the kidneys were grossly enlarged, diffusely dark red-brown, and congested. The renal tubular epithelium was diffusely, acutely necrotic, with interstitial hemorrhage and massive accumulation of intratubular granular and proteinaceous casts. A diagnosis of massive hemolysis with hemoglobinuria and renal failure due to C. perfringens, type A infection was made. Alpha-toxin–induced intravascular hemolysis occurs rarely in humans and sheep. To our knowledge, this has not been described in horses with clostridial enterocolitis nor in equine clostridial gastritis.