I have an OTTB gelding that is constantly subject to hives and skin irritation, apparently from fungus. It is most prevalent where he sweats on the neck where it joins the shoulder, on his lower chest and on his side behind the elbow (the girth area). He can get it anywhere, but the sweaty areas are by far the most prone and have it year round. The worse the outbreak is, the worse the hives will be. We have warm winters with occasional cold spells so this is a year-round problem, but it’s definitely much worse and more widespread on his body in the summer.
This year was the best summer ever for the condition. The least noticeable, least widespread on his body, and very little signs of itching.
In addition to benadryl and the vet prescription, I have adopted a strict routine to control the fungus that we assume is the cause. He gets an antibacterial bath every time I’m at the barn (4x week, sometimes more) with a soft scrubber for the places where the skin is showing the most reaction. He keeps the soap on for at least 10 minutes before rinsing. (I put him in a small paddock to graze for the duration.)
Then I’ve been applying Equiderma skin lotion to the areas where it is obvious. It has worked famously (I was using it before I started the bath routine). As the weather has become cooler and the problem less acute, I’ve just use the Equiderma spray on all of him.
For the bath, I mix betadine with regular horse soap for the most affected areas, and as mentioned above it stays on for 10 minutes.
The leftover soap mix I use on the brush and curries I used to groom him before the ride. These are also soaked and then allowed to sit for at least 10 minutes. I think this has helped a great deal, as this is the first year I’ve done that, and the first year that the fungus has stayed contained in the sweatiest areas, and not been scattered all over his body.
And, for preventative measures I make sure to thoroughly soap-wash & rinse between his legs and under his tail - ALL of the cracks and crevices, no part of skin is left to its own devices. Since I started doing that he has not had sweet itch problems. I have a special soft wash rag used for only those areas and he’s cooperative (once he got the idea). There is no reason to worry “will it dry” because horses are easily able to spread their back legs and allow plenty of air up in there. They just don’t often do it for us to see, but they stand in a more relaxed way when they aren’t dealing with us humans. My gelding has become accustomed to the routine, and especially if he’s been feeling a bit itchy, he will open up his stance in back and allow me to wash and rinse everything and let the air in to dry it.
In my case I assume “fungus” because of photos & internet research, and feedback of what it “most probably is” from vets and experienced horse people. It can be difficult to accurately test for allergies. If a treatment works, go with it, has been the recommendation I’ve rec’d.