Page 687 - The Veterinary Care of the Horse
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        Figure 15.16 Lumps of mucus are commonly found on the ground outside the stable door



        Once a horse has become sensitized, it may suffer acute attacks of the disease and develop
        severe  respiratory  difficulties  in  a  short  period  of  time.  The  animal  breathes  with  flared

        nostrils  and  heaving  flanks  and  has  spells  of  continuous  paroxysmal  coughing.  Wheezing
        sounds may be heard at the nostrils.

             The incidence of the disease increases with age.



        Why does this develop?


        The  expiratory  difficulty  is  caused  by  obstruction  of  airflow  in  both  the  large  and  small
        airways. This is due to spasm of the smooth muscle (bronchospasm) in the larger airways and
        inflammation and the accumulation of mucus in the bronchioles. Both lead to a reduction in
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