{"id":4798,"date":"2016-11-04T01:11:59","date_gmt":"2016-11-04T06:11:59","guid":{"rendered":"http:\/\/equinevetob.com\/eva\/?p=4798"},"modified":"2017-07-17T13:32:26","modified_gmt":"2017-07-17T18:32:26","slug":"ppid-cushings","status":"publish","type":"post","link":"https:\/\/equinevetob.com\/eva\/ppid-cushings\/","title":{"rendered":"What is PPID (Cushing&#8217;s)?"},"content":{"rendered":"<h3>What is PPID?<\/h3>\n<p>Pituitary Pars Intermedia Dysfunction (PPID), also known as Equine Cushing&#8217;s Disease, is an endocrine disorder of the pituitary gland, resulting in hormonal imbalances.&nbsp; It is most commonly diagnosed in middle-aged and geriatric horses.<\/p>\n<p>&nbsp;<\/p>\n<h3>What are the clinical signs of PPID?<\/h3>\n<ul>\n<li>Long\/wavy haircoat (also known as hirsutism)<\/li>\n<li>Abnormal shedding patterns<\/li>\n<li>Excessive sweating or lack of sweating (also known as anhydrosis)<\/li>\n<li>Lethargy<\/li>\n<li>Poor athletic performance<\/li>\n<li>Chronic recurrent laminitis<\/li>\n<li>Infertility<\/li>\n<li>Weight loss<\/li>\n<li>Muscle wasting, especially along the topline<\/li>\n<li>Abnormal fat distribution along crest of neck, tail head, sheath, and above the eyes<\/li>\n<li>Increased consumption of water and increased urine output<\/li>\n<li>Delayed wound healing<\/li>\n<li>Increased susceptibility to infections<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>How is PPID diagnosed?<\/h3>\n<p>If outward clinical signs indicate you horse may have PPID, your vet will likely recommend bloodwork to confirm diagnosis.&nbsp; The most common method of diagnosing PPID is by measuring ACTH levels in blood plasma.&nbsp; If plasma ACTH levels are greater than the normal reference range, it is a good indicator of PPID.&nbsp; However, ACTH concentrations naturally rise in the fall for horses in the northern hemisphere, therefore the reference range should be adjusted accordingly when testing horses in the fall months.<\/p>\n<p>&nbsp;<\/p>\n<h3>How is PPID managed?<\/h3>\n<p><strong>Diet:<\/strong> The basis for feeding horses with PPID is low starch and higher fats.<\/p>\n<p><strong>Grain:<\/strong> Several commercially produced feeds are available, including SafeChoice Special care and Purina Wellsolve L\/S.&nbsp; These should only be used to supplement calories needed to maintain an appropriate body condition.<\/p>\n<p><strong>Forage:<\/strong> Lower quality hay is best. Sugar-rich grasses should be avoided.&nbsp; This is worst with new grasses in the springtime.&nbsp; Turnout should also be avoided later in the afternoon or at dusk as this is when grasses are more sugar-rich. Grazing muzzles can be worn to slow down forage intake.<\/p>\n<p><strong>Exercise:<\/strong> For horses not currently experiencing a bout of laminitis, a regular exercise program should be used to encourage appropriate body condition.&nbsp; Please consult with your veterinarian on the appropriate regimen for your horse.<\/p>\n<p><strong>Medications: <\/strong>Prascend (pergolide) is commonly prescribed to horses with PPID to regulate plasma ACTH levels. <a href=\"https:\/\/www.prascend.com\/prascend.html\" target=\"_blank\">Learn more about Prascend.<\/a><\/p>\n<p>Regular veterinary visits are recommended to identify subtle or early progressive signs of disease.<\/p>\n<p>Initially, bloodwork should be checked frequently. Once your horse&#8217;s PPID is more controlled, bloodwork should be rechecked at least yearly to confirm that your horse is still being appropriately managed on their medication.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/www.aaep.org\/info\/horse-health?publication=747\" target=\"_blank\">For more information about PPID and other equine metabolic disorders, visit the AAEP website.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is PPID? Pituitary Pars Intermedia Dysfunction (PPID), also known as Equine Cushing&#8217;s Disease, is an endocrine disorder of the pituitary gland, resulting in hormonal imbalances.&nbsp; It is most commonly diagnosed in middle-aged and geriatric horses. &nbsp; What are the clinical signs of PPID? Long\/wavy haircoat (also known as hirsutism) Abnormal shedding patterns Excessive sweating [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":true,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[504],"tags":[530,533,534,532,529,531],"class_list":["post-4798","post","type-post","status-publish","format-standard","hentry","category-faq","tag-cushings","tag-endocrine","tag-hormone","tag-older","tag-ppid","tag-weight"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What is PPID (Cushing&#039;s)? - Equine Veterinary Associates<\/title>\n<meta name=\"description\" content=\"PPID, also known as Equine Cushing&#039;s Disease, is an endocrine disorder of the pituitary gland that is commonly diagnosed in geriatric horses.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/equinevetob.com\/eva\/ppid-cushings\/\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Web Developer\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/equinevetob.com\/eva\/ppid-cushings\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/equinevetob.com\/eva\/ppid-cushings\/\"},\"author\":{\"name\":\"Web Developer\",\"@id\":\"https:\/\/equinevetob.com\/eva\/#\/schema\/person\/d7ba8c9dd2dd2e56845e42eb7f6324eb\"},\"headline\":\"What is PPID (Cushing&#8217;s)?\",\"datePublished\":\"2016-11-04T06:11:59+00:00\",\"dateModified\":\"2017-07-17T18:32:26+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/equinevetob.com\/eva\/ppid-cushings\/\"},\"wordCount\":422,\"keywords\":[\"cushings\",\"endocrine\",\"hormone\",\"older\",\"ppid\",\"weight\"],\"articleSection\":[\"FAQ\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/equinevetob.com\/eva\/ppid-cushings\/\",\"url\":\"https:\/\/equinevetob.com\/eva\/ppid-cushings\/\",\"name\":\"What is PPID (Cushing's)? - Equine Veterinary Associates\",\"isPartOf\":{\"@id\":\"https:\/\/equinevetob.com\/eva\/#website\"},\"datePublished\":\"2016-11-04T06:11:59+00:00\",\"dateModified\":\"2017-07-17T18:32:26+00:00\",\"author\":{\"@id\":\"https:\/\/equinevetob.com\/eva\/#\/schema\/person\/d7ba8c9dd2dd2e56845e42eb7f6324eb\"},\"description\":\"PPID, also known as Equine Cushing's Disease, is an endocrine disorder of the pituitary gland that is commonly diagnosed in geriatric horses.\",\"breadcrumb\":{\"@id\":\"https:\/\/equinevetob.com\/eva\/ppid-cushings\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/equinevetob.com\/eva\/ppid-cushings\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/equinevetob.com\/eva\/ppid-cushings\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/equinevetob.com\/eva\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"What is PPID (Cushing&#8217;s)?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/equinevetob.com\/eva\/#website\",\"url\":\"https:\/\/equinevetob.com\/eva\/\",\"name\":\"Equine Veterinary Associates\",\"description\":\"An Ambulatory and Clinic-Based Veterinary Practice for Horses\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/equinevetob.com\/eva\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/equinevetob.com\/eva\/#\/schema\/person\/d7ba8c9dd2dd2e56845e42eb7f6324eb\",\"name\":\"Web Developer\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/equinevetob.com\/eva\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/50f57072430eda7eda89ebad4eca2a6a105f36041cd02af62e8918270c2abe20?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/50f57072430eda7eda89ebad4eca2a6a105f36041cd02af62e8918270c2abe20?s=96&d=mm&r=g\",\"caption\":\"Web Developer\"},\"sameAs\":[\"http:\/\/www.rebrandeddesigns.com\",\"facebook.com\/rebrandeddesigns\"],\"url\":\"https:\/\/equinevetob.com\/eva\/author\/clw115\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"What is PPID (Cushing's)? - Equine Veterinary Associates","description":"PPID, also known as Equine Cushing's Disease, is an endocrine disorder of the pituitary gland that is commonly diagnosed in geriatric horses.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/equinevetob.com\/eva\/ppid-cushings\/","twitter_misc":{"Written by":"Web Developer","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/equinevetob.com\/eva\/ppid-cushings\/#article","isPartOf":{"@id":"https:\/\/equinevetob.com\/eva\/ppid-cushings\/"},"author":{"name":"Web Developer","@id":"https:\/\/equinevetob.com\/eva\/#\/schema\/person\/d7ba8c9dd2dd2e56845e42eb7f6324eb"},"headline":"What is PPID (Cushing&#8217;s)?","datePublished":"2016-11-04T06:11:59+00:00","dateModified":"2017-07-17T18:32:26+00:00","mainEntityOfPage":{"@id":"https:\/\/equinevetob.com\/eva\/ppid-cushings\/"},"wordCount":422,"keywords":["cushings","endocrine","hormone","older","ppid","weight"],"articleSection":["FAQ"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/equinevetob.com\/eva\/ppid-cushings\/","url":"https:\/\/equinevetob.com\/eva\/ppid-cushings\/","name":"What is PPID (Cushing's)? - Equine Veterinary Associates","isPartOf":{"@id":"https:\/\/equinevetob.com\/eva\/#website"},"datePublished":"2016-11-04T06:11:59+00:00","dateModified":"2017-07-17T18:32:26+00:00","author":{"@id":"https:\/\/equinevetob.com\/eva\/#\/schema\/person\/d7ba8c9dd2dd2e56845e42eb7f6324eb"},"description":"PPID, also known as Equine Cushing's Disease, is an endocrine disorder of the pituitary gland that is commonly diagnosed in geriatric horses.","breadcrumb":{"@id":"https:\/\/equinevetob.com\/eva\/ppid-cushings\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/equinevetob.com\/eva\/ppid-cushings\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/equinevetob.com\/eva\/ppid-cushings\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/equinevetob.com\/eva\/"},{"@type":"ListItem","position":2,"name":"What is PPID (Cushing&#8217;s)?"}]},{"@type":"WebSite","@id":"https:\/\/equinevetob.com\/eva\/#website","url":"https:\/\/equinevetob.com\/eva\/","name":"Equine Veterinary Associates","description":"An Ambulatory and Clinic-Based Veterinary Practice for Horses","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/equinevetob.com\/eva\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/equinevetob.com\/eva\/#\/schema\/person\/d7ba8c9dd2dd2e56845e42eb7f6324eb","name":"Web Developer","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/equinevetob.com\/eva\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/50f57072430eda7eda89ebad4eca2a6a105f36041cd02af62e8918270c2abe20?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/50f57072430eda7eda89ebad4eca2a6a105f36041cd02af62e8918270c2abe20?s=96&d=mm&r=g","caption":"Web Developer"},"sameAs":["http:\/\/www.rebrandeddesigns.com","facebook.com\/rebrandeddesigns"],"url":"https:\/\/equinevetob.com\/eva\/author\/clw115\/"}]}},"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5Mx2y-1fo","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/equinevetob.com\/eva\/wp-json\/wp\/v2\/posts\/4798","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/equinevetob.com\/eva\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/equinevetob.com\/eva\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/equinevetob.com\/eva\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/equinevetob.com\/eva\/wp-json\/wp\/v2\/comments?post=4798"}],"version-history":[{"count":5,"href":"https:\/\/equinevetob.com\/eva\/wp-json\/wp\/v2\/posts\/4798\/revisions"}],"predecessor-version":[{"id":4901,"href":"https:\/\/equinevetob.com\/eva\/wp-json\/wp\/v2\/posts\/4798\/revisions\/4901"}],"wp:attachment":[{"href":"https:\/\/equinevetob.com\/eva\/wp-json\/wp\/v2\/media?parent=4798"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/equinevetob.com\/eva\/wp-json\/wp\/v2\/categories?post=4798"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/equinevetob.com\/eva\/wp-json\/wp\/v2\/tags?post=4798"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}