Its normally foals that get it, if you read around then its 2 - 13 months of age. It can range from mild to severe, or just exposure - some foals will get it but never become sick, they will just shred the bacteria in there droppings and develop antibodies. It is spread to other horses/foals in the manure. Can be carried on your feet, wheel barrows etc, other animals. If a foal has it then its dam will most likely also have been exposed to it but mature horses don’t normally get it (nobody knows why). If a mare has antibodies for it then her foal will probably have antibodies from the dam in the colostrum according to this which is interesting to read: http://igitur-archive.library.uu.nl/student-theses/2009-1221-200322/Lawsonia.pdf
I had a 6.5 month foal test positive for it on a fecal test last October. Six weeks later (end November last year) my then 17 month filly became poorly (lost her appetite/mild colic). She has antibodies/ is seropositive for lawsonia. She was treated for lawsonia just in case. She did have some thickening in her small intestine at one point but don’t know for certain if she actually had a bit of it or not. She is still not right 9 months later, probably has an adhesion but its not in her small intestine (can be felt on a rectal).
I tested (blood serology test) 4 of my homebred (never been off the farm) mares in May this year to see if all my horses were seropositive for lawsonia which if it was in the farm enviroment then they would/should be. These 4 mares have been turned out together on the same fields all there life, ages 5yrs, 2 x 7yrs and 15yrs. Two are positive (both 7yr olds) and two are negative. One of the positive mares is the dam of the 6.5 month foal, the other was in the stable next to her at the time. That mare also had a foal at foot and i’m fairly certain that that foal infected my 17 month filly (who was no where near the infected foal/mares). That foal was weaned and 17 month filly went in that stable straight after that foal left here and then became poorly 18 days later. That foal was never poorly. My two positive mares were never poorly.
Google it, loads of info out there. Some links:
http://www.equiman.com/forums/ubbthreads.php?ubb=showflat&Number=411704
http://www.horseandhound.co.uk/forums/showthread.php?t=322859
http://www.ncbi.nlm.nih.gov/pubmed/22715937
http://www.vetmed.ucdavis.edu/eidrl/local-assets/pdfs/Article_31.pdf