Sweet itch (insect bite hypersensitivity) is a debilitating allergic skin condition in horses caused by Culicoides midge bites. Management requires multi-modal intervention.
Sweet itch causes intense, chronic pruritus (itching) that significantly diminishes quality of life. Affected horses may rub until they bleed, lose substantial mane and tail hair, and develop thickened, crusted skin. The relentless urge to rub is distressing and some horses show clear signs of misery during peak midge seasons. Welfare-positive management includes Culicoides-proof rugs, stabling at dawn and dusk, barrier creams, antihistamines, and in severe cases veterinary corticosteroid treatment.