A 12-year-old Arab stallion was presented with a chronically swollen r
ight carpus resulting in profound lameness of the same leg. An incisio
nal biopsy of subcutaneous tissue from the right carpus submitted for
cytology and histopathology revealed large numbers of eosinophils inte
rspersed by substantial numbers of variably sized and granulated mast
cells. Fungal culture of a subcutaneous tissue sample taken from the r
ight carpus was negative. Serial full blood counts revealed persistent
mature eosinophilia, not accompanied by a mastocytaemia, neutrophilia
without left shift and persistent hyperfibrinogenaemia. After humane
destruction, dissection of the affected limb revealed a thick layer of
connective tissue deposited around the right carpal joint. Within the
connective tissue were embedded many small 0.25-1 cm diameter yellow
gritty nodules, which consisted of dystrophic calcification and necrot
ic cell debris. The tendons enveloped by the connective tissue mass ha
d limited function. The right axillary lymph node was moderately enlar
ged, yellow-brown and moist. Histopathological examination revealed a
moderately well differentiated mast cell neoplasm with evidence of met
astasis to the regional lymph node. In horses, malignant mast cell neo
plasia is rare, while metastasis has only been reported in one other h
orse. Eosinophilia associated with equine mast cell neoplasia has not
been reported previously but is recorded in mast cell neoplasia in the
dog.