Enhancing diagnostic accuracy in common human poxvirus infections during mpox outbreak: A dermoscopy review

Xu Li1,2, Mutong Zhao3, Yanfei Li1,2

  • 1Department of Dermatology, The First Hospital of Hohhot, Hohhot, China.

Insights

Poxvirus infections like mpox can present with unusual skin lesions. Dermoscopy aids dermatologists in diagnosing these poxvirus (Poxviridae family) infections, including mpox, orf, milker's nodule, and molluscum contagiosum.

Area of Science:

  • Dermatology
  • Virology
  • Infectious Diseases

Background:

  • Poxviruses (Poxviridae family) are significant human pathogens, with smallpox eradicated but mpox cases resurging.
  • Poxvirus infections can manifest with atypical cutaneous lesions beyond typical presentations.
  • Dermoscopy is increasingly vital for diagnosing skin conditions, including viral infections.

Purpose of the Study:

  • To summarize the clinical and dermoscopic features of various human poxvirus infections.
  • To highlight the utility of dermoscopy in identifying poxvirus-related cutaneous lesions.
  • To provide a reference for dermatologists managing poxvirus outbreaks.

Main Methods:

  • Review of clinical and dermoscopic findings of human poxvirus infections.
  • Inclusion of representative cases of mpox, orf, milker's nodule, and molluscum contagiosum.
  • Focus on characteristic dermoscopic patterns for each poxvirus type.

Main Results:

  • Poxvirus infections exhibit diverse clinical presentations, often with characteristic dermoscopic features.
  • Dermoscopy can differentiate between various poxvirus lesions, aiding in accurate diagnosis.
  • Specific dermoscopic criteria are presented for mpox, orf, milker's nodule, and molluscum contagiosum.

Conclusions:

  • Dermoscopy is an essential tool for the diagnosis of cutaneous poxvirus infections.
  • Recognizing atypical presentations and utilizing dermoscopy improves patient management.
  • Understanding dermoscopic features aids in distinguishing between different poxvirus (Poxviridae family) infections.

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