Sweet itch is a hypersensitivity reaction to insect bites causing intense itching and self-trauma in genetically susceptible horses.
Sweet itch causes persistent, intense pruritus that drives affected horses to self-injure in attempts to relieve itching. During peak midge season, this can constitute a significant ongoing welfare problem — horses unable to rest without itching, with broken skin, hair loss, and secondary infections around rubbed areas. Welfare-centred management requires layered prevention — physical barriers against midges through appropriate rugging, stable management, and topical repellents — combined with medical management of symptoms during breakthrough periods. The chronic nature of the condition means welfare monitoring through the entire susceptible season is necessary, not just during acute flare-ups.