{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T21:16:37Z","timestamp":1783372597955,"version":"3.54.6"},"reference-count":49,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Swiss National Fond","award":["40B2-0_194689"],"award-info":[{"award-number":["40B2-0_194689"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Insect bite hypersensitivity (IBH) is the most common allergic skin disease in horses, but existing clinical scoring systems lack extensive validation, limiting standardized disease monitoring and therapeutic evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis\/Objectives<\/jats:title>\n                    <jats:p>Develop and validate a standardized, sensitive, and reproducible clinical scoring system for IBH in horses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Animals<\/jats:title>\n                    <jats:p>Forty-four privately-owned horses with clinically diagnosed IBH examined under field conditions in Switzerland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective field validation study, the equine IBH severity score (EqIS) integrates a lesion severity score and an area score using a multiplicative algorithm. Six trained evaluators assessed horses independently. Primary outcomes were intra- and interobserver reliability of the lesion severity score and EqIS assessed using intraclass correlation coefficients (ICC). Secondary analyses included agreement of the area score (Pearson correlation), correlations between owner-reported visual analog scale (VAS) scores and EqIS, and comparison between EqIS and a simplified EqIS developed for field use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Intraobserver reliability was excellent (ICC\u00a0=\u00a00.995 for the lesion severity score and 0.989 for EqIS), and interobserver reliability was similarly high (ICC\u00a0=\u00a00.98 for both). The area score showed strong interobserver agreement (Pearson r\u00a0=\u00a00.86-0.94). Owner VAS scores correlated moderately with EqIS (\u03c1\u00a0=\u00a00.49-0.51) and strongly with each other (\u03c1\u00a0=\u00a00.88). The simplified EqIS demonstrated strong agreement with the validated version (R2\u00a0=\u00a00.86).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and clinical importance<\/jats:title>\n                    <jats:p>The EqIS is the first extensively validated IBH-specific scoring system and demonstrates excellent reproducibility across evaluators. It provides an objective tool for standardized disease assessment and therapeutic monitoring, whereas the simplified EqIS offers a practical alternative for routine field use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jvimsj\/aalag132","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T20:57:22Z","timestamp":1783371442000},"source":"Crossref","is-referenced-by-count":0,"title":["Validation of an improved insect bite hypersensitivity severity score for allergic equine insect bite hypersensitivity in horses"],"prefix":"10.1093","volume":"40","author":[{"given":"Juwela","family":"Lam","sequence":"first","affiliation":[{"name":"Evax AG , Guntershausen b. 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Aadorf, 8357 ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Macsmeila","family":"Dietrich","sequence":"additional","affiliation":[{"name":"Department of Dermatology, University Hospital Zurich , Schlieren, 8952 ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3863-8766","authenticated-orcid":false,"given":"Thomas M","family":"K\u00fcndig","sequence":"additional","affiliation":[{"name":"Department of Dermatology, University Hospital Zurich , Schlieren, 8952 ,","place":["Switzerland"]},{"name":"Faculty of Medicine, University of Zurich , Zurich, 8032,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6189-172X","authenticated-orcid":false,"given":"Antonia","family":"Fettelschoss-Gabriel","sequence":"additional","affiliation":[{"name":"Evax AG , Guntershausen b. 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