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Monkeypox whitlow: a novel presentation.

Andrés Grau Echevarría1, Rodrigo Peñuelas Leal1, Carolina Labrandero Hoyos1

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This summary is machine-generated.

Monkeypox can cause a rare finger infection called whitlow, particularly in men who have sex with men (MSM). This study highlights this new presentation and potential transmission routes.

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Area of Science:

  • Dermatology
  • Infectious Diseases
  • Public Health

Background:

  • Monkeypox (MPX) is a rare zoonotic viral disease.
  • Recent global outbreaks show a rise in cases among men who have sex with men (MSM).
  • New clinical presentations and complications of MPX are emerging.

Observation:

  • This study describes monkeypox whitlow, a novel presentation affecting the finger.
  • Three male patients (ages 32-49) with MPX whitlow were observed.
  • All patients had digital lesions on the dominant hand's third finger and other skin lesions.

Findings:

  • Two patients experienced severe digital and proximal arm inflammation, responding well to systemic corticosteroids.
  • Onychodystrophy (nail damage) was a complication in two cases.
  • Sexual intercourse involving digital-anal penetration was reported as a potential transmission route.

Implications:

  • Monkeypox whitlow represents a new clinical manifestation requiring consideration in differential diagnoses.
  • Understanding transmission routes, including sexual contact, is crucial for public health interventions.
  • Early recognition and management, potentially including corticosteroids, may improve outcomes for severe cases.