disease, is a common endocrine disorder primarily affecting older equids. Current estimates suggest that approximately 25% of horses and ponies aged 15 years and older may be affected.
The condition arises from degeneration of dopaminergic neurons within the hypothalamus, leading to loss of regulatory control over the pars intermedia region of the pituitary gland. As a result, excessive production of several hormones, including adrenocorticotropic hormone (ACTH), occurs. Although PPID is progressive and currently incurable, early diagnosis and appropriate management can significantly slow disease progression and improve equine welfare.
Clinical signs of PPID are variable and may develop gradually. Common indicators include hypertrichosis (abnormal or excessive hair growth), delayed or incomplete shedding of the winter coat, lethargy, weight loss, and metabolic disturbances. One of the most serious associated complications is laminitis, which can severely compromise quality of life and may become life-threatening. Due to the variable presentation of clinical signs, diagnostic testing is frequently required to support clinical suspicion.
Measurement of baseline plasma ACTH concentration is widely used as a primary diagnostic tool for PPID. However, interpretation of ACTH values is complex, as concentrations are influenced by several factors, particularly seasonal variation. In the Northern Hemisphere, resting ACTH levels typically rise during late summer and early autumn, approximately between August and October. Understanding these physiological fluctuations is essential to avoid misinterpretation of results and potential overdiagnosis.
Breed-related differences in ACTH concentrations have also been documented. An Australian study identified that pony breeds, particularly Shetland ponies, displayed significantly higher ACTH concentrations during autumn when compared with Thoroughbred horses. These findings suggest that species, breed type, and possibly body size may influence endocrine responses and should be considered during diagnostic evaluation.
Further research has expanded understanding of ACTH variation across different equid species. A study conducted by Goodrich and colleagues, involving researchers from Cornell University, the University of California, Davis, and private veterinary practice, investigated baseline ACTH concentrations in donkeys and horse–donkey hybrids across several regions of the United States. The study aimed to provide a more comprehensive understanding of seasonal ACTH variation in healthy equids, as previous research had been limited by small sample sizes and restricted geographic representation.
The study evaluated 19 standard donkeys, 14 miniature donkeys, and 28 hybrids, with animals located in California, Massachusetts, New York, and Texas. Blood samples were collected twice monthly from June to November 2019 and monthly from December 2019 to May 2020. Results demonstrated a clear seasonal rise in ACTH concentrations across all groups, with levels increasing from mid-August and peaking in late September. Mean ACTH concentrations during peak periods reached approximately 109.6 pg/mL in standard donkeys, 134.6 pg/mL in miniature donkeys, and 100.8 pg/mL in hybrids.
Notably, hybrids consistently exhibited lower ACTH concentrations compared to donkeys throughout the year. During the seasonal peak, ACTH levels in hybrids were 23% lower than in standard donkeys and 51% lower than in miniature donkeys. Similar differences persisted during non-peak periods, with hybrids showing reductions of approximately 30% compared to both donkey groups. These findings highlight important species-related differences that may influence diagnostic interpretation.
Overall, research demonstrates that accurate diagnosis of PPID requires careful consideration of seasonal variation, species differences, and breed predisposition alongside clinical assessment. Improved understanding of normal ACTH fluctuations in healthy equids enhances diagnostic accuracy and supports more effective management of this common and welfare-significant endocrine disorder.
For more details, see:
Goodrich, Erin L., Sebastián Gonzalo Llanos-Soto, Renata Ivanek, Toby Pinn-Woodcock, Elisha Frye, Amy Wells, Stephen R. Purdy, Emily Berryhill, and Ned J. Place.
Both Season and Equid Type Affect Endogenous Adrenocorticotropic Hormone Concentrations in Healthy Donkeys, Mules and Hinnies in the United States
Animals (2026) 16, no. 2: 290.
https://doi.org/10.3390/ani160202902






