Hyperandrogenemia and behavioural changes in a mare with equine metabolic syndrome.

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Title: Hyperandrogenemia and behavioural changes in a mare with equine metabolic syndrome.
Authors: Shell, K.1 (AUTHOR) katja.faquet@gmx.de, Rijkenhuizen, A. B. M.2 (AUTHOR), Vervuert, I.3 (AUTHOR)
Source: Equine Veterinary Education. Jul2026, Vol. 38 Issue 7, pe374-e379. 6p.
Subject Terms: *Behavior disorders, Metabolic syndrome, Insulin regulation, Mares, Anti-Müllerian hormone, Hyperandrogenism, Granulosa cell tumors, Thyroid cancer
Abstract: Summary: Hyperandrogenemia and elevated serum anti‐Mullerian hormone (AMH), as well as an increased risk to develop cancer, are well described in women with metabolic syndrome (MS). This case report describes a mare presenting with a 1‐year history of behavioural changes making her unable to be ridden, lack of signs of oestrus, hyperandrogenemia, increased AMH concentration and an enlarged right thyroid gland. Granulosa theca cell tumour (GCT) was suspected by the referring veterinarian due to behavioural changes and inability to work under the saddle, which commonly are associated with GCT in mares. Only mild elevation of AMH levels in the serum, unremarkable findings upon ovarian palpation and ultrasonography made the diagnosis of GCT questionable. At referral in mid‐April, body condition score (BCS) of six out of nine and regional fat deposits were suggestive of equine metabolic syndrome (EMS). Insulin dysregulation (ID) was confirmed by an oral sugar test (OST). A diet considering adequate energy and nutrient intake and exercise regime improved behaviour, work under saddle and insulin levels. Furthermore, the mare showed signs of oestrus again and serum AMH and testosterone were within normal limits. Due to ultrasonographic changes of the thyroid gland, it was excised and thyroid carcinoma confirmed. This case describes the occurrence of EMS, behavioural changes, hyperandrogenemia and concurrent neoplasia in a mare. While there is no proof of a causative link between neoplasia and EMS, the observation of the concurrent pathologies is interesting and warrants further investigation. [ABSTRACT FROM AUTHOR]
Copyright of Equine Veterinary Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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An: 194361971
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  Data: Hyperandrogenemia and behavioural changes in a mare with equine metabolic syndrome.
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  Data: <searchLink fieldCode="AR" term="%22Shell%2C+K%2E%22">Shell, K.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> katja.faquet@gmx.de</i><br /><searchLink fieldCode="AR" term="%22Rijkenhuizen%2C+A%2E+B%2E+M%2E%22">Rijkenhuizen, A. B. M.</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vervuert%2C+I%2E%22">Vervuert, I.</searchLink><relatesTo>3</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Equine+Veterinary+Education%22">Equine Veterinary Education</searchLink>. Jul2026, Vol. 38 Issue 7, pe374-e379. 6p.
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  Data: *<searchLink fieldCode="DE" term="%22Behavior+disorders%22">Behavior disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Metabolic+syndrome%22">Metabolic syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22Insulin+regulation%22">Insulin regulation</searchLink><br /><searchLink fieldCode="DE" term="%22Mares%22">Mares</searchLink><br /><searchLink fieldCode="DE" term="%22Anti-Müllerian+hormone%22">Anti-Müllerian hormone</searchLink><br /><searchLink fieldCode="DE" term="%22Hyperandrogenism%22">Hyperandrogenism</searchLink><br /><searchLink fieldCode="DE" term="%22Granulosa+cell+tumors%22">Granulosa cell tumors</searchLink><br /><searchLink fieldCode="DE" term="%22Thyroid+cancer%22">Thyroid cancer</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Summary: Hyperandrogenemia and elevated serum anti‐Mullerian hormone (AMH), as well as an increased risk to develop cancer, are well described in women with metabolic syndrome (MS). This case report describes a mare presenting with a 1‐year history of behavioural changes making her unable to be ridden, lack of signs of oestrus, hyperandrogenemia, increased AMH concentration and an enlarged right thyroid gland. Granulosa theca cell tumour (GCT) was suspected by the referring veterinarian due to behavioural changes and inability to work under the saddle, which commonly are associated with GCT in mares. Only mild elevation of AMH levels in the serum, unremarkable findings upon ovarian palpation and ultrasonography made the diagnosis of GCT questionable. At referral in mid‐April, body condition score (BCS) of six out of nine and regional fat deposits were suggestive of equine metabolic syndrome (EMS). Insulin dysregulation (ID) was confirmed by an oral sugar test (OST). A diet considering adequate energy and nutrient intake and exercise regime improved behaviour, work under saddle and insulin levels. Furthermore, the mare showed signs of oestrus again and serum AMH and testosterone were within normal limits. Due to ultrasonographic changes of the thyroid gland, it was excised and thyroid carcinoma confirmed. This case describes the occurrence of EMS, behavioural changes, hyperandrogenemia and concurrent neoplasia in a mare. While there is no proof of a causative link between neoplasia and EMS, the observation of the concurrent pathologies is interesting and warrants further investigation. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Equine Veterinary Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1111/eve.70048
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 6
        StartPage: e374
    Subjects:
      – SubjectFull: Behavior disorders
        Type: general
      – SubjectFull: Metabolic syndrome
        Type: general
      – SubjectFull: Insulin regulation
        Type: general
      – SubjectFull: Mares
        Type: general
      – SubjectFull: Anti-Müllerian hormone
        Type: general
      – SubjectFull: Hyperandrogenism
        Type: general
      – SubjectFull: Granulosa cell tumors
        Type: general
      – SubjectFull: Thyroid cancer
        Type: general
    Titles:
      – TitleFull: Hyperandrogenemia and behavioural changes in a mare with equine metabolic syndrome.
        Type: main
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      – PersonEntity:
          Name:
            NameFull: Shell, K.
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            NameFull: Rijkenhuizen, A. B. M.
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            NameFull: Vervuert, I.
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          Dates:
            – D: 01
              M: 07
              Text: Jul2026
              Type: published
              Y: 2026
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              Value: 38
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              Value: 7
          Titles:
            – TitleFull: Equine Veterinary Education
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