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It is associated with, but not caused by, ''[[Oesophagostomum]]''.+
The cause is multifactorial, involving poor husbandry, inadequate feeding, parasites, and intestinal malabsorption which may be due to damage by parasites or another clinical disease.
The cause is multifactorial, involving poor husbandry, inadequate feeding, parasites, and intestinal malabsorption which may be due to damage by parasites or another clinical disease.
−The condition is associated with the gastrointestinal parasites ''[[Oesophagostomum]]'' and Hyostrongylous rubidus.
Outdoor reared pigs may be at increased risk due to the lower environmental temperatures which mean that they require 200kg more feed per sow per year than indoor reared pigs.
Outdoor reared pigs may be at increased risk due to the lower environmental temperatures which mean that they require 200kg more feed per sow per year than indoor reared pigs.