Another long-standing case here - as in the entire eight+ years the horse has been in the family - except our scabby things are not limited to right above the coronet band, they are also on the heel bulbs, both sides of the pasterns, and there are a few on the fetlocks as well.
I typically call them “scratches”, but they are NOT the same as the scratches most people deal with and are able to eventually cure. These are hard to get off, and hair grows through them. When the crusts/scabs do come off, the underlying lesions don’t typically bleed, and the scabs come back in the exact same spot. I really should stop calling them “scratches” because they’re not, and when I do call them that, people tell me how they cleared up their horse’s case with their own special concoction. Yeah right.
I have tried many, many, many, many things over the years. Nothing has worked. Some things seem to be working initially, but then the effect seems to lessen, and the crud makes a comeback. Systemic antibiotics in consultation with vet. Vetericyn. Double dosing with ivermectin every two weeks for three cycles. Yada yada yada. Recently tried a homeopathic remedy - tellurium metallica - and I am not a homeopathic remedy type person.
Horse was seen by a veterinary dermatologist (not primarily a horse guy, but horses definitely a part of his practice) and we did systemic antifungals for several months, RX topical sprays, as well as a long-term low dose of dex. Again, might have seen a little initial improvement with this regime, but no cure.
I have wondered if they might be some variant of a sarcoids and have considered asking the vet about maybe trying a topical sarcoid treatment on just one or two of them.
Over the years, some of the things I have found that really did seem to be helpful:
- to soften the crusts/scabs/lesions - Udder Balm. Apply twice a day if possible. Watch carefully in the summer because it is very attractive to flies.
- to clean - Ag Silver Shampoo. When I can wash daily with this, the stuff looks better than it ever does otherwise.
- the spray that I really thought was going to finally clear the stuff up - seemed to be working for about a month - EquiTech Mud Stop (imported from the UK).
This winter, I have been going with the less is better treatment philosophy - maybe spraying with whatever I have “in stock” every other day. So far, the crud doesn’t seem much better or much worse than any other winter, and it’s less hassle for me and the horse.
Happy to at least feel some solidarity with others in this thread!