Changes

==Diagnosis==

==Diagnosis==

The list of differential diagnoses for this condition is lengthy and several important conditions should be ruled out. If lesions are restricted to non-pigmented skin only, liver enzymes and bile acids should be evaluated in order to rule out photosensitisation as a cause of disease. Skin scrapes should be performed in order to rule out parasites such as Chorioptes mites (especially in heavily-feathered horses). The seasonal nature of the condition combined with a history of continuous wetting may help aid in diagnosis. Bacterial swabs for culture and skin biopsy may be useful in refractory cases.  

The seasonal nature of the condition combined with a history of continual wetting may aid in diagnosis. However, the list of differential diagnoses for this condition is lengthy and several important conditions should be ruled out. If lesions are restricted to non-pigmented skin only, liver enzymes and bile acids should be evaluated in order to rule out photosensitisation as a cause of disease. Skin scrapes should be performed in order to rule out parasites such as Chorioptes mites (especially in heavily-feathered horses). Bacterial swabs for culture and skin biopsy may be useful in refractory cases.  

In chronic cases, diagnosis may be difficult and a diagnosis of idiopathic pastern dermatitis is often made.

In chronic cases, diagnosis may be difficult and a diagnosis of idiopathic pastern dermatitis is often made.