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Basics

Outline


BASICS

Overview!!navigator!!

Yellow star thistle poisoning, also known as “chewing disease,” is a devastating disease caused by prolonged ingestion of yellow star thistle or Russian knapweed, resulting in degeneration of specific basal nuclei and the extrapyramidal system

Pathophysiology

  • Access to hay or pasture containing yellow star thistle (Centaurea solstitialis) or Russian knapweed (Centaurea repens) for at least a month
  • Toxicity produced when horses eat 50–200% of their bodyweight of the thistles, resulting in necrosis of the substantia nigra and globus pallidus
  • Repin is the most abundant constituent isolated from these plants, and is a leading suspect for causing equine nigropallidal encephalomalacia. It has been shown to reduce cellular glutathione and increase reactive oxygen species
  • Dopaminergic neurons in the basal nuclei may be more susceptible to oxidative stress

Geographic Distribution

Predominantly in northwestern USA. C. repens also grows in Australia, where it is known as yellow burr.

Signalment!!navigator!!

Horses of any age, sex, or breed can be affected.

Signs!!navigator!!

  • Clinical signs appear suddenly in horses once they have consumed 50–200% of their bodyweight of the poisonous plants
  • Paralysis of the lips and tongue present early in the course of the disease result in the horse being unable to eat
  • Reduced jaw tone, tongue protrusion, and hypertonicity of the facial and upper lip musculature are also frequently observed. Other reported clinical signs include severe depression, with affected horses carrying their heads low
  • Ultimately, poisoned animals are unable to eat, become weak and emaciated, and eventually die of starvation

Diagnosis

DIAGNOSIS

The diagnosis is based on signalment, history, and physical and neurologic findings, and can be confirmed by MRI.

Differential Diagnosis

Tetanus

Treatment

TREATMENT

Horses can be maintained with feeding through a nasogastric tube, but no specific treatment exists.

Follow-up

FOLLOW-UP

Expected Course and Prognosis

The outlook is grave and affected horses starve to death.

Miscellaneous

Outline


MISCELLANEOUS

See Also!!navigator!!

Tetanus

Abbreviations!!navigator!!

MRI = magnetic resonance imaging

Suggested Reading

Chang HT, Rumbeiha WK, Patterson JS, et al. Toxic equine parkinsonism: an immunohistochemical study of 10 horses with nigropallidal encephalomalacia. Vet Pathol 2012;49:398402.

Elliott CR, McCowan CI. Nigropallidal encephalomalacia in horses grazing Rhaponticum repens (creeping knapweed). Aust Vet J 2012;90:151154.

Author(s)

Author: Caroline N. Hahn

Consulting Editor: Caroline N. Hahn