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Diagnosis of the disease can be challenging because of its broad spectrum of clinical presentations and disparate published diagnostic criteria.

North yorkshireUnited kingdomUnited statesHeidi banseDianne mcfarlaneDavid rendleNicholas hartAimi duffNicola menzies gowEdward knowlesUniversity of liverpoolBritish equine veterinary associationLouisiana state universityRoyal veterinary collegeUniversity of floridaEquine veterinary