A disorder of lipid metabolism, equine hyperlipidemia, occurs most com
monly in Shetland ponies and donkeys. Onset is precipitated by malnutr
ition, stress, and anorexia. Breed, concurrent diseases, and such cond
itions as obesity, pregnancy, and lactation may be predisposing factor
s. Hyperlipidemia is characterized by signs that are initially vague (
e.g., dullness, lethargy, and inappetence) but that rapidly progress a
s fatty infiltration of the liver and kidneys results in hepatic and/o
r renal failure. Plasma triglyceride concentrations are elevated-in se
verely affected equids or in advanced cases, concentrations can rise t
o more than 6500 mg/dl. Mortality is high. Therapy includes treatment
of underlying disease, correction adn maintenance of energy balance, a
nd normalization of plasma lipid concentrations.