Harlequin-type ichthyosis condition are extremely sensitive to changes in temperature due to their hard cracked skin, which prevents normal heat loss. Respiration is also restricted by the skin, which impedes the chest wall from expanding and drawing in enough air. This can lead to hypoventilation and respiratory failure. Patients are often dehydrated, as their plated skin is not well suited to retaining water. The diagnosis of harlequin-type ichthyosis relies on both physical examination and certain laboratory tests. Physical assessment at birth is vital for the initial diagnosis of harlequin ichthyosis. Physical examination reveals characteristic symptoms of the condition especially the abnormalities in
Henneke horse body condition scoring system before the race due to their high exercise levels, possibly also leading to a decrease in muscle mass. They explain the differences of results between the studies in part in that the participating horses of the 1990 Purina Race of Champions have had to qualify before and present a more highly-performing field of horses. Both Tevis Cup studies found that horses with a higher body condition score had, however, a significantly higher rate of not finishing the race due to lameness. Horses on pasture should enter the winter season at a body condition score of 6 or 7. On extremely