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Peer-reviewed veterinary case report

Bilateral Uveitis in a Horse With a Renal Carcinoma.

Journal:
Journal of equine veterinary science
Year:
2022
Authors:
Romero, Beatriz Fuentes et al.
Affiliation:
Veterinary Teaching hospital of the University of Extremadura
Species:
horse

Plain-English summary

This case involves a horse that developed bilateral uveitis, which is inflammation of the eye, and was later found to have renal cell carcinoma, a type of kidney cancer. The horse was treated for the eye condition but unfortunately collapsed and died while in the hospital. An examination after death revealed a tumor in the kidney that had spread to other areas, including the liver and lungs. The findings suggested that the eye inflammation was related to the cancer, indicating that older horses with uveitis that don't improve with treatment should be checked for possible underlying tumors. Sadly, the treatment did not work, and the horse passed away.

Abstract

Equine uveitis is a common eye disease that affect horses from different breeds, ages, and genders. Uveitis has been described as inflammation of the uvea secondary immunomediated processes or eye trauma. Renal cell carcinoma (RCC) is the most common tumor that can affect the equine kidneys. The present case describe a horse that was referred to the Veterinary Teaching Hospital of the University of Extremadura with bilateral uveitis. The horse was treated for the primary complain but the horse collapse and die during hospitalization. At necropsy, a tumoral mass in kidney with extensive in other locations as liver, lung, and lymphonodes was described. Within peritoneal cavity a pedunculated mass has been observed next to severe hemoperitoneum. Histologically, primary neoplasia and its metastasis was composed by a proliferation of epithelial cells, which were organized in a tubulopapillary pattern, similarly in the ciliary body this pattern was also observed. The diagnosis of renal carcinoma with metastasis in both uveal structures was performed. Immunomarker with CD10, AE1-AE3, and vimentin evidenced the same origin of primary neoplasia. Uveal metastasis should be included as differential diagnoses in aged horses with uveitis that not response with the medical treatment.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/36031033/