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Peer-reviewed veterinary case report

Solar keratoma: An atypical case.

Journal:
Journal of the South African Veterinary Association
Year:
2015
Authors:
Miller, Sean M & Katzwinkel, Ralph H
Affiliation:
Summerveld Equine Hospital
Species:
horse

Plain-English summary

A Thoroughbred racehorse was having ongoing issues with lameness, particularly in the right hind hoof, which had been draining an abscess for a long time. When the vet looked deeper into the problem, they found a mass inside the hoof that turned out to be a keratoma, which is a type of growth. A few months later, the horse showed similar signs in the left hind hoof, and another keratoma was found and removed. This case highlights that keratomas can appear in more than one hoof and should be considered when a horse has long-term lameness in its hooves. The treatment was successful in removing the keratomas.

Abstract

This case report shows that keratomas can occur in both hind feet of equine patients and should be considered as a diagnosis for long-standing, intermittent lameness localised to the hooves. A Thoroughbred racehorse presented with long-standing abscessation of the right hind hoof. Owing to the long-standing nature, the abscess draining tract was surgically explored. A focal mass was found within the solar horn. Histopathology revealed the mass to be a keratoma. A similar mass was removed from the left hind hoof a few months later after similar presenting signs. This case shows that keratomas can occur in more than one hoof within a short period and should be considered a differential diagnosis for long-standing lameness localised to the hoof.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/26824342/