Equine Cushing’s is now termed PPID (Pars Pituitary Intermedia Dysfunction). This means that an area of the pituitary gland at the base of the brain overproduces several hormones. This results in raised ACTH1 which circulates in the blood to the adrenal glands and causes excess cortisol (a steroid hormone) to be produced. It is a gradual age-related change so primarily affects ponies and horses over 15 years of age but recent studies have shown it to be evident in some 10-15 year olds. A significant proportion of horses with laminitis have PPID.

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