Carotenodermia in a Horse

This case report describes an 11-year-old Appaloosa gelding that was examined because of yellow–orange tinting of the skin of the muzzle, eyelids, sheath, anus, and perianal region without discoloration of the sclera or mucus membranes. The horse was reported to preferentially eat dandelions which were plentiful in the pasture. Physical examination was normal, except for the discolored skin. A serum chemistry panel was normal. Carotenodermia was suspected. Serum carotenoid concentrations were higher in the affected horse as compared with concentrations in two horses with depigmented skin of normal color that were on grass pasture in the same geographic area. The horse remained systemically healthy and the abnormal skin color had almost disappeared when he was examined 7 weeks later. Carotenodermia can occur in horses and can be differentiated from jaundice because the sclera remains unaffected. Veterinarians should be aware that the condition is benign and spontaneously resolves after stopping carotenoid intake.