Congenital diseases in horses
- goout80
- Dec 20, 2025
- 2 min read
Updated: Dec 23, 2025
Congenital diseases and defects in horses are conditions that are present at birth, usually due to genetics, but sometimes also due to conditions during pregnancy (infections, poor nutrition, toxins).

Below is an overview arranged by body system:
Musculoskeletal System
Angular Limb Deformities (ALD)
Limb deformities – legs curved in/out. Common in foals.
Flexural Deformities (Contracted Tendons)
Excessive bending of joints (e.g. “club foot”).
Dwarfism
Rare, usually genetic, with deformities of limbs and vertebrae.

Nervous System
Cerebellar Abiotrophy (CA)
Atrophy of the cerebellum – lack of coordination, tremors.
Common in Arabs and Quaternaries.
Wobbler Syndrome (CVM)
Compression of the cervical spinal cord → instability.
Hydrocephalus
Accumulation of fluid in the brain – enlarged head.
Ocular System
Microphthalmia
Eyes smaller than normal.
Congenital Cataracts
Congenital clouding of the lens.
Coloboma
Structural defects in parts of the eye.

Cardiovascular System
Ventricular Septal Defect (VSD)
A hole between the ventricles of the heart – can cause exercise intolerance.
Patent Ductus Arteriosus (PDA)
A fetal blood vessel that does not close after birth.
Respiratory System
Choanal Atresia
Congenital obstruction of the nasal passages – an emergency in foals.
Cleft Palate
Cleft palate – causes food aspiration.
Digestive System
Atresia Ani / Coli
Lack of anal opening or missing parts of intestine.
Meconium Retention
Primary fecal retention (not always genetic but congenital).
Reproductive System
Cryptorchidism
Descended testicle – common, has a genetic component.
Intersex Conditions
Rare – disorders of sexual development.
Known Genetic Diseases
SCID (Severe Combined Immunodeficiency)
Severe combined immunodeficiency – fatal without treatment.
Common in Arabians.
HYPP
Potassium channel disorder – attacks of weakness.
Common in Quaternaries.
GBED
Glycogen storage disorder – fatal in foals.
HERDA
Skin defect – delicate skin that tears easily.

Main risk factors
• Breeding within the same bloodline
• Nutritional imbalance during pregnancy
• Exposure to toxins / medications
• Viral infections in the fetus
Prevention and recommendations
• Genetic testing for parents before breeding
• Balanced nutrition for the pregnant mare
• Avoidance of genetic inbreeding
• Preliminary veterinary examination for the foal
*It is always advisable to consult a qualified veterinarian.



