White Muscle Disease

Todayโ€™s path rounds are on ๐ฐ๐ก๐ข๐ญ๐ž ๐ฆ๐ฎ๐ฌ๐œ๐ฅ๐ž ๐๐ข๐ฌ๐ž๐š๐ฌ๐ž!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐–๐ก๐ข๐ญ๐ž ๐ฆ๐ฎ๐ฌ๐œ๐ฅ๐ž ๐๐ข๐ฌ๐ž๐š๐ฌ๐ž is basically as the name suggests, a disease of the muscle that turns it white instead of its normal red colour. This disease is associated with nutritional problems!

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
We most commonly see this disease in young animals like calves, lambs and foals, however any species can get this.

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
White muscle disease can be caused by two nutritional issues: ๐ฌ๐ž๐ฅ๐ž๐ง๐ข๐ฎ๐ฆ ๐๐ž๐Ÿ๐ข๐œ๐ข๐ž๐ง๐œ๐ฒ or ๐ฏ๐ข๐ญ๐š๐ฆ๐ข๐ง ๐„ ๐๐ž๐Ÿ๐ข๐œ๐ข๐ž๐ง๐œ๐ฒ. In mammals, we most commonly associate this condition with selenium deficiency. Both of these nutrients are ๐š๐ง๐ญ๐ข๐จ๐ฑ๐ข๐๐š๐ง๐ญ๐ฌ, meaning they bind to and neutralize dangerous oxygen-derived chemicals that can damage tissues. When these nutrients are inadequate, the ๐Ÿ๐ซ๐ž๐ž ๐ซ๐š๐๐ข๐œ๐š๐ฅ๐ฌ cause damage to the muscular cell membranes, leading to ๐ง๐ž๐œ๐ซ๐จ๐ฌ๐ข๐ฌ (cell death). Necrotic tissues commonly undergo ๐ฆ๐ข๐ง๐ž๐ซ๐š๐ฅ๐ข๐ณ๐š๐ญ๐ข๐จ๐ง, where calcium is deposited in the area, which leads to the muscle turning white!

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
Obviously, muscle that is dead or dying doesnโ€™t function as effectively as a normal, healthy muscle. Because this disease can affect any muscle in the body, the presenting symptoms can be quite variable! Some animals have difficulty eating due to weakening of the muscles in the tongue, while others may have lameness or strange movement due to weakness of the limb muscles. The most severe presentation comes from necrosis of the heart muscle, leading to heart failure.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
Diagnosis in the live animal usually involves measuring the concentration of selenium or vitamin E in the blood. However, the easiest method of diagnosis is seeing the white, calcified muscle from a necropsy specimen under the microscope!

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐? ๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ฉ๐ซ๐ž๐ฏ๐ž๐ง๐ญ๐ž๐?
Treatment and prevention of this disease are the same: injecting selenium and vitamin E. In affected animals, this restores the antioxidant capacity, and allows the muscle to begin healing. As a preventative, producers with known issues may give all of their young animals this injection to boost their antioxidants before it becomes a problem!

๐๐ก๐จ๐ญ๐จ๐ฌ
1-4) White muscle in the heart from selenium deficiency.
5) What this disease looks like under the microscope! The normal muscle is bright pink with striping. In the middle, you can see muscle with purple calcium covering it.

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Maxie, G. Jubb, Kennedy and Palmerโ€™s Pathology of Domestic Animals, Volume 1. Sixth Edition.

Photos 1, 5 ยฉ University of Calgary Diagnostic Services Unit.
Photos 2-4 Noahโ€™s Arkive contributors Rimoldi, Luginbuhl, Anderson licensed under CC BY-SA 4.0.

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