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Human ORF (ecthyma contagiosum).

G Georgiades1, A Katsarou, K Dimitroglou

  • 1Orthopaedic Department, Limnos General Hospital, Limnos, Greece. gephge@hotmail.com

Journal of Hand Surgery (Edinburgh, Scotland)
|June 7, 2005
PubMed
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Orf is a viral skin infection common in sheep and goat farmers. This report details 31 cases, examining orf pathology, appearance, diagnosis, treatment, and potential complications.

Area of Science:

  • Veterinary Dermatology
  • Zoonotic Infections
  • Viral Pathology

Background:

  • Orf is a contagious viral dermatitis caused by the orf virus (ORFV).
  • It primarily affects sheep and goats, presenting as proliferative lesions on mucocutaneous junctions.
  • Human infection is a known zoonotic risk, particularly for individuals with occupational exposure.

Purpose of the Study:

  • To describe the clinical presentation and epidemiological features of orf in a cohort of 31 patients.
  • To review the pathology, diagnosis, and management strategies for orf infections in humans.
  • To highlight potential complications and treatment outcomes associated with orf.

Main Methods:

  • Retrospective case series analysis of 31 patients diagnosed with orf.

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  • Clinical data collection including patient history, lesion characteristics, and exposure history.
  • Review of diagnostic methods and treatment protocols employed.

    • Main Results:

    • Orf presented primarily as solitary or grouped lesions on the hands and fingers.
    • Lesions were typically characterized by a central depression and surrounding erythema and edema.
    • Most cases resolved spontaneously, with supportive care being the primary treatment modality.

    Conclusions:

    • Orf is a benign, self-limiting zoonotic viral infection in humans.
    • Early recognition of characteristic lesions and occupational exposure history aids in diagnosis.
    • While generally uncomplicated, awareness of potential secondary infections is important for patient management.