10/29/2026
Wet, chilly autumn weather and thickening coats create ideal conditions for rain rot (dermatophilosis), one of the most common skin conditions seen this time of year.
1. Cause: Dermatophilus congolensis, a gram-positive, non-acid-fast, facultatively anaerobic, branching filamentous actinomycete. Clinically normal, chronically infected horses are the main reservoir, and flare-ups follow wet weather. Moisture releases motile zoospores that are attracted to skin CO2 and invade compromised skin.
2. Pathogenesis: The infected epidermis hardens and lifts off as a crust, and wet crusts continue to release zoospores. Immunity after infection is not lasting, so it recurs, especially on farms with a history.
3. Signs: Raised crusty scabs with "paintbrush" tufts on the back, rump, neck, and face. Yellow-green pus is under larger crusts. Lower-leg lesions can occur at wet pasterns, especially on white legs, and rain rot is one cause of "scratches." Lesions can be painful, and some horses need sedation for crust removal.
4. Who's at risk: Young or immunosuppressed horses and those with concurrent illness or stress. Other risk factors are inadequate shelter, dense winter coats, and blankets that trap dampness.
5. Diagnosis: Rain rot is often recognized by its appearance. It is confirmed with cytology of the underside of a fresh crust, which shows "railroad tracks": 2-6 parallel rows of cocci under oil immersion. In atypical cases, biopsy shows branching hyphae divided in several planes along with coccoid cells and zoospores. Look-alikes, such as dermatophytosis (ringworm) and pemphigus foliaceus, need to be ruled out using culture or biopsy.
6. Treatment: The horse should be kept dry. Gently remove and dispose of crusts. Wash with an antimicrobial shampoo (2-4% chlorhexidine is the topical of choice), allow 10-15 minutes of contact time, rinse, and dry thoroughly. Many mild to moderate cases resolve with topicals and moisture control, while severe cases may need systemic antibiotics, such as trimethoprim-sulfamethoxazole.
7. Course: Once the skin stays dry, acute lesions often heal within about three weeks without scarring. Dry weather speeds healing.
8. Contagion and biosecurity: Direct contact, shared brushes, blankets, tack, and biting flies and ticks can spread it. Zoonotic infection is rare but is observed on the hands and arms if it occurs. Use separate tools, disinfect shared equipment, and wear gloves and wash with antimicrobial soap.
9. Prevention: Provide shelter, never blanket a wet horse, remove wet blankets, use breathable waterproof sheets, check under blankets, and control insects.
If you're a current client of Essence Equine and would like to discuss rain rot or other skin concerns for your horse, please reach out. If you would like to establish care for your horse(s) with us, please message or call us to schedule a new client appointment!