in dark conditions. Lethal white syndrome Lethal white syndrome is a genetic disorder linked to the Frame overo (O) gene and most closely studied in the American Paint Horse. Affected foals are carried to term and at birth appear normal, though they have pink-skinned all-white or nearly-white coats and blue eyes. However, the colon of these foals cannot function due to the absence of nerve cells, and the condition cannot be treated. Foals with Lethal White Syndrome invariably die of colic within 72 hours, and are usually humanely euthanized. Carriers of the gene, who are healthy and normal, can be identified by a DNA test. While carriers often exhibit the "frame overo" pattern, this is not a dispositive trait and testing is necessary, as the pattern can appear in a minimal form as normal white markings or be masked by other white spotting genes. Horses that appear white, but are not Genetically white horses have unpigmented pink skin (except where a horse with a W allele may have some darker pigmented areas) and unpigmented white hair, though eye color varies. The lack of pigment in the skin and hair is caused by the absence of pigment-producing cells called melanocytes. Some coat colors are characterized by light or white-like coats and even pinkish skin, however these white-like coats are not lacking melanocytes. Instead, white-like coat colors result from various changes in the ways melanocytes produce pigment. Gray Gray horses have the most common "white-like" coat color. However, the most noticeable difference between a gray horse whose hair coat is completely white and a white horse is skin color: most gray horses have black skin and dark eyes, white horses have light, unpigmented skin. The gray gene does not affect skin or eye color, so grays typically have dark skin and eyes, as opposed to the unpigmented pink skin of true white horses. The skin and eyes may be other colors if influenced by other factors such as white markings, certain white spotting patterns or dilution genes. Gray foals may be born any color, but the colored hairs of their coat become progressively silvered as they age, eventually giving mature gray horses a white or nearly-white hair coat. Gray is controlled by a single dominant allele of a gene that regulates specific kinds of stem cells. Gray horses are at an increased risk for melanoma; 70-80% of gray horses over the age