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A Man with an Umbilicated Papule of the Hand : What Is Your Diagnosis?
Joint Authors
Sarma, Deba P.
Crisler, William
Walter, Paige
Cox, Meredith
Huerter, Christopher
Source
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-05-31
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
Ecthyma contagiosum is a zoonotic disease caused by the parapoxvirus that causes “sore mouth” in sheep and goats and orf in human.
Case Presentation.
A 61-year-old sheep farmer presented with a painful non-pruritic lesion on the left hand that had been present for approximately 5 weeks.
Physical examination demonstrated a 1 cm pearly, umbilicated papule with raised borders.
A biopsy showed an asymmetrical nodule with parakeratotic crust and acanthosis with thin epidermal strands extending deeply in the underlying dermis.
Marked edema, capillary proliferation and extensive lymphocytic infiltration was also present.
One red intranuclear inclusion was identified in an epidermal keratinocyte.
A diagnosis of human orf (ecthyma contagiosum) was made.
Conclusion.
Infected sheep and freshly vaccinated sheep or goats are the reservoir for human infection.
After an incubation period of 3–7 days, parapoxvirus infections produce 1–3 painful lesions measuring 1-2 cm in diameter.
The natural history of the disease is complete resolution and no treatment is indicated.
Prevention of echthyma contagiosum in ruminants through vaccination is thought to be the best way to control infection.
American Psychological Association (APA)
Sarma, Deba P.& Cox, Meredith& Walter, Paige& Crisler, William& Huerter, Christopher. 2010. A Man with an Umbilicated Papule of the Hand : What Is Your Diagnosis?. Case Reports in Medicine،Vol. 2010, no. 2010, pp.1-3.
https://search.emarefa.net/detail/BIM-478486
Modern Language Association (MLA)
Sarma, Deba P.…[et al.]. A Man with an Umbilicated Papule of the Hand : What Is Your Diagnosis?. Case Reports in Medicine No. 2010 (2010), pp.1-3.
https://search.emarefa.net/detail/BIM-478486
American Medical Association (AMA)
Sarma, Deba P.& Cox, Meredith& Walter, Paige& Crisler, William& Huerter, Christopher. A Man with an Umbilicated Papule of the Hand : What Is Your Diagnosis?. Case Reports in Medicine. 2010. Vol. 2010, no. 2010, pp.1-3.
https://search.emarefa.net/detail/BIM-478486
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-478486