Cases: Dec 08
17-year old assistent farmer presents with a rapid grown of a 1 cm large flesh-coloured tumor at PIP dig II dext. Soreness, but no pain or associated complaints except for reduced mobility associated with the growth of the tumor.
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What is the diagnosis and what treatment should be considered?
The diagnosis is Orf – a viral infection with parapox virus from lambs and goats – contracted while slaughting or nursing infected animals.
- After an incubation period of 5 or 6 days the tumor process presents with blood-tinged pustules and bullae.
- The lesions are often solitary. Secondary lymfangitis and reactive erythema multiforme may occur.
Treatment: Treatment is seldom necessary unless secondary bacterial infection occurs. Larger lesions may require a surgery excision.
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