A severe form of recurrent exertional
rhabdomyolysis occurs enzootically in a well-defined region of Transylvania, Harghita county. At the highest lying two settlements (more than 800 m above sea level), the prevalence of equine
rhabdomyolysis is between 17 and 23%, while in the neighbouring villages in the valley it is less than 2%. The objective of our study was to clarify the role of
selenium and
vitamin E in the high prevalence of
rhabdomyolysis in that region. Soil and hay samples were collected from each area to evaluate
mineral content. Ten horses from the non-affected and 20 horses from the affected area were tested for serum
selenium,
vitamin E,
glutathione peroxidase (GSH-Px), muscle
enzymes,
lactate and
electrolytes. Hay samples collected from the affected area had lower
selenium content. Horses in the affected regions had significantly lower serum
selenium (P = 0.006) and GSH-Px levels than animals living in the non-affected regions. A good correlation between erythrocyte GSH-Px and serum
selenium concentration could be demonstrated (r = 0.777, P < 0.001). Serum
vitamin E levels were low independently of the origin of the horse. Based on our results,
selenium deficiency possibly has a role in the Transylvanian enzootic equine recurrent
rhabdomyolysis syndrome.