Tag Archives: Hereditary Equine Regional Dermal Asthenia

My Day with Penelope

By: Jessica Levin

It was a beautiful day outside; the first blush of spring was finally on the horizon with the beautiful Rocky Mountains framing a breathtaking picture. All week, as I pondered my life-changing trip, the temperature in Denver had hovered around 30, but today was different — it was 50 degrees. When I got out of my car, I inhaled the crisp, clean winter air. I couldn’t contain my excitement; it was coursing through my veins. Then I saw a beautiful horse. She is not your “run of the mill” horse; she is not just any horse; she is Penelope!

Penelope is a beautiful and unusual horse. She lives every day with Hereditary Equine Regional Dermal Asthenia (HERDA). HERDA is an inherited collagen deficiency. Researchers have confirmed abnormal skin, tendons, ligaments, heart valves and eyes.   Due to persistent wounds, most horses with this genetic disease cannot be ridden or shown competitively and are humanely euthanized.

There’s a similar disease in humans called Ehlers-Danlos Syndrome (EDS). EDS is an inherited connective tissue disorder which affects multiple systems in the body and is caused by a defect in collagen. Collagen is essential as it helps keep bones, joints, muscles, ligaments, blood vessels and organs strong, stable and secure. However, the collagen in people with EDS is more elastic than it should be, which can cause pain, joint dislocation, organ problems, skin ailments and more.

If you were to look at me, you’d never know all the things I struggle with daily. None of it is visible. In fact, I have a couple invisible illnesses which I have endured virtually my entire life, one of which is Ehlers-Danlos Syndrome. Most people look at me and think: “What could possibly be wrong with her?” or “She must be a hypochondriac!” These comments are not only frustrating and hurtful, but they are also things I hear much too often. Even so, I consider myself lucky because I’m not in a wheelchair and I don’t have to walk with a cane. Some other people with EDS have to rely on these assistive devices. However, the excruciating pain I experience can still be debilitating.

FetlocksPenelope’s owner, Robin Davison, brought her into the snow-covered round pen so that our EDS group could enjoy and marvel at this spectacular mare. I could hear the clicking of her knees as she walked past me, a sound that was all too familiar to me as it’s the very sound that comes from my own painful joints. It’s something I struggle with daily, sometimes requiring braces to help combat the pain. I felt joy, sadness, and hope when I empathized with Penelope.

Robin pointed out Penelope’s damaged skin. She had scars where a saddle had rubbed her too hard, a long scar on her face from an accident, and a few others from trying to live like a normal horse. One might think: “What’s the big deal about a few scars?” The difference is that Penelope’s skin tears easily and scars worse than other horses. Normally, a horse can wear a saddle and be ridden with little to no complications. This isn’t possible for Penelope because her skin is too fragile. I was so interested in this because I have skin issues caused by EDS. Five years ago, I had laparoscopic surgery, which typically leaves four half-inch scars on the torso. However, I developed huge puffy, painful scars called keloids – another lovely side effect of my EDS. Just then, I started to realize how similar I was to Penelope.

I got to see Penelope’s playful side as well. I couldn’t contain my joy and laughter when I saw Penelope lower herself to the ground, flip onto her back and then roll around in the snow. It was quite possibly the cutest thing I’d ever seen, especially when done by such a large animal. It also reminded me that I still find joy in many different aspects of my life despite all the pain I live with daily.

Abnormal flexibility is a bad thing, because it leads to joint pain. Penelope showed us some of her unusual range of motion by taking treats from different positions. Seeing an animal with unnatural flexibility was fascinating. But then I was struck with a deeper realization: there was another being on this earth that was so very similar to me. I felt like I could understand Penelope’s daily struggles. For example, my joints are so flexible that I can press my thumb flat against my wrist. In addition, my knees have always hyperextended, despite attempts to correct it with physical therapy.

I think the best part of the day was when Robin gave us carrots to feed to her. I loved how her furry lips brushed my hand as she gently ate the carrot that I held in my palm.

Seeing as Penelope is non-verbal, she is very fortunate to have someone like Robin in her life. When Penelope is groomed, it is of the utmost importance to inspect her body from head to tail rather than focus on making her pretty. She also must be watched for any change in behavior, such as lameness, which is caused by more elastic tendons/ligaments that have given Penelope premature arthritis. I feel that I am equally lucky as my family is very supportive and has advocated for me on numerous occasions. Something that most people with EDS find frustrating is how long it takes to get diagnosed. I have been to more doctors than I can count and only two of them actually had an understanding of Ehlers-Danlos Syndrome. The best way to help individuals who struggle with EDS is by raising awareness, in the medical community and in the public at large.

I will never forget my day with Penelope. She not only showed me that I am not alone with this struggle, but that it is still possible to lead a productive and satisfying life. She gave me hope and inspiration.

For more information on HERDA: www.herdahorse.com.
For more information on EDS: www.ednf.org.

HERDA – Hereditary Equine Regional Dermal Asthenia – Buyer Beware!

HERDA – Hereditary Equine Regional Dermal Asthenia – Buyer Beware! Check the bloodline of any AQHA, APHA, ApHC and cross-bred horses of these breeds before you buy! Check your horses’ bloodlines before you breed, too! This is a heart-wrenching story from a woman whose mare was diagnosed with HERDA.

By Tara Flanagan and Robin Davison, March 2011: From across the paddock, Penelope (registered name, Quality Sensation) is a striking four year-old paint mare who has nothing but potential. Her athletic build, to-die-for lope and easy disposition indicate that she inherited all the right things.

Robin's horse, Quality Sensation. Click on image for larger view.

But get a little closer and you’ll notice the discoloration on her back from saddle sores. The skin around her withers feels corrugated. It’s easily manipulated and doesn’t snap back into place –almost as if the horse is severely dehydrated.

I bought my mare in November 2009 and had her hauled from Florida to Colorado. Penelope had an injury on her right hind leg from the trip that required a vet’s attention, and which was unusually slow to heal. Mostly, I was filled with the excitement that came with getting the horse I had dreamed about – Penelope and I were going to show at the National Western Stock Show someday.

Typical of many horses who are afflicted by HERDA, or hereditary equine regional dermal asthenia, Penelope started to show signs of the disorder when she developed saddle sores that did not heal in March 2010, about two months after she was started under saddle. A DNA test from UC-Davis revealed that Penelope is HRD/HRD – affected – meaning that she has two copies of the HERDA gene.

Robin's horse, Quality Sensation. Click on image for larger view.
Robin's horse, Quality Sensation, showing the skin not popping back into place. Click on image for larger view.

Affected horses develop severe lacerations, hematomas, and seromas from minor trauma, frequently resulting in disfiguring scars. Due to their persistent wounds, most horses cannot be ridden or shown competitively and are humanely euthanized. Many horses affected with HERDA are often not diagnosed until they are 1-2 years of age, but severely affected horses may develop signs shortly after birth. Symptoms include stretchy skin that feels “mushy” or “doughy” to the touch. Penelope’s mane, for example, has that doughy feel.  Contrary to what the name implies, the disease affects tissues throughout the horse’s body.  The proportion of carrier horses is high in certain Quarter Horse disciplines such as cutting, where 28.3% of elite cutting horses are carriers. Therefore, cutting horses that carry HERDA are more prevalent than halter horses that carry HYPP. In fact, 14 of the top 100 cutting sires are carriers whose offspring have earnings in excess of 116 million dollars. The performance traits of these select carriers bloodlines are highly desired, likely increasing the prevalence of HERDA. Although cutting horses have been the subject of most of the study and press about HERDA, the incidence of HERDA in pleasure and reining horses is on the rise. (information provided by Dr. Ann Rashmir)

HERDA is found in some descendants of the AQHA sire Poco Bueno. Researchers have named four deceased Quarter Horse stallions that were carriers and produced at least one affected HERDA foal. They are: Dry Doc, Doc O’Lena, Great Pine, and Zippo Pine Bar. These stallions all trace to Poco Bueno through his son and daughter, Poco Pine and Poco Lena. Other breeds affected are the American Paint Horse (APHA), the Appaloosa (ApHC) and any other breed registry that allows out-crossing to AQHA horses.  (this information found on http://www.angelfire.com/pa5/ment2befarms/herda.html).

As far as the odds go, if you breed a carrier to another carrier you have a 25 percent chance of producing an affected horse (HRD/HRD), 50 percent chance of producing another carrier (N/HRD) and a 25 percent chance of producing a normal horse (N/N). When a normal horse (N/N) is crossed with a carrier (N/HRD), 50 percent of the offspring may be carriers (N/HRD) and 50 percent may be normal (N/N); none of the offspring will be affected (HRD/HRD).

QUALITY SENSATION
Bay/Overo
ZIPPOS SENSATION
Sorrel/Overo
ZIPPO PINE BAR
Quarter Horse
ZIPPO PAT BARS
Quarter Horse
DOLLIE PINE
Quarter Horse
SATIN N LACE
Sorrel/Overo
POCO FISTY BARS
Sorrel/Overo
IMA FISTY BAR
Sorrel/Overo
INVESTMENT QUALITY
Quarter Horse
INVESTMENT ASSET
Quarter Horse
THE BIG INVESTMENT
Quarter Horse
MISS REBEL RITA
Quarter Horse
ZIPPOS TIFFANY ANN
Quarter Horse
ZIPPO PINE BAR
Quarter Horse
ROCKET BAR BABE
Quarter Horse

I now board Penelope at a local farm, where she enjoys a shady enclosure. It’s too risky to turn Penelope out with most horses, but we have found a few equine companions for occasional turnout. For now, Penelope is doing well. I have learned that these horses can live many comfortable years with the disorder – provided they aren’t ridden and are kept in a very safe environment.

From the HERDA document from Dr. Ann Rashmir showing an affected horse. Click on image for larger view.

So, what can you do? If you plan to buy a quarter horse, paint or appaloosa 4 years old or younger that has several crosses to Poco Bueno, it’s wise to get him/her tested. Require a HERDA test as part of a pre-purchase exam if the horse has Poco Bueno as far back as seven or eight generations.  Just looking at the pedigree on registration papers might not be adequate to determine if the horse is at risk.  The test only costs $40 (here is the link:  http://www.vgl.ucdavis.edu/services/horse.php).  And it stands to reason that you can’t produce a HERDA affected horse if you don’t breed two carriers.

For more information please contact Dr. Ann Rashmir at the Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University G209 Veterinary Medical Center, East Lansing, MI 48824-1314, Office (517) 355-1866.

A few quick facts:

HERDA/hyperelastosis cutis was first reported by Lerner and McCracken in 1978.  The DNA test at UC-Davis has been available for 4 years.

2% of all Quarter Horses are carriers of the HERDA gene. (August 1, 2010 issue of Journal of the American Veterinary Medical Association)

AQHA has a ruling on HERDA currently up for review:

http://www.equinechronicle.com/riding-and-training/club-show-news/two-last-minute-aqha-rule-change-proposals-include-amending-chain-use-in-youth-and-amateur-halter-classes-and-adding-herda-to-genetic-defect-list.html

From the HERDA document from Dr. Ann Rashmir showing a severely affected horse. Click on image for larger view.

A few links on this rapidly emerging genetic disease:

http://www.americashorse.tv/health.html?video=4e922025-5abb-48fd-89c1-918335139ead

HERDA – A Devastating Defect By Heather Thomas from the Equine Chronicle EC May/June, 2004 http://www.equinechronicle.com/health/herda-a-devastating-defect.html

An ABC News video interview with Robin:   mms://entriq0lax2wm.fplive.net/entriq0lax2/kmgh/video/20101015155800_45101_001041p1001239p9.wmv

http://www.bringinglighttohypp.org/HERDA.html

I got this HERDA information from a colleague, Lisa Kemp, who is a multi-award winning writer and marketing consultant for the equine industry.  She blogs about equestrian business marketing at http://NoBizLikeHorseBiz.com.  She has included HorsesintheSouth.com in many of her articles, one of which was the award winning article about Gabrielle Boiselle that was a featured calendar promotion on my blog. We have more Gabrielle articles on my blog, too – she has her own category http://horsesinthesouth.com/blog/?cat=872. Lisa wrote a 3-part article for TheHorse.com for this HERDA issue.  You will need a login to TheHorse.com to read these articles (it’s free; you will just have to sign up).  Here is the first article:  http://www.thehorse.com/ViewArticle.aspx?ID=17175