ORF Nodule Complicated by Erythema Multiforme: About 2 Cases
Journal Title: Journal of Dermatology Research - Year 2023, Vol 4, Issue 2
Abstract
ORF nodule is a disease caused by a parapoxvirus ovis with epithelial tropism which is transmitted to humans from sick animals, sheep and goats, suffering from contagious ovine pustular dermatosis ecthyma [1]. Common complications of ORF infection have been reported, including secondary bacterial infection, lymphadenopathy, lymphangitis, more rarely erythema multiforme and bullous pemphigoid [2]. We describe here two cases of ORF nodule with secondary erythema multiforme. A 35-year-old man with no pathological history presented to the emergency department for a diffuse pruritic papulo-vesicular eruption without mucosal involvement in a context of fever. The interrogation reveals that lesion has been appeared at the level of the 4th finger 2 weeks before and 3 days after contact with a sheep that seemed to be in good health. On examination, there was a purplish and eroded nodule taking on the dorsal surface of his right middle finger (Fig. 1), cockades and pseudo-cockades scattered all over the body with an acral predominance without involvement of the mucous membranes (Fig. 1). At the level of the internal face of the left arm, we noted metameric vesicles arranged on the arm. The diagnosis of ORF and erythema multiforme associated with shingles on the left arm was retained. A biological assessment of immunosuppression was carried out, returning without particularity. The patient was put on injectable antibiotic therapy, curative antiviral and local care, the evolution was marked by a good improvement.
Authors and Affiliations
Boularbah Siham, Douhi Zakia, Kaoutar Elfid, Soughi Meryem, Elloudi Sara, Baybay Hanane, Mernissi Fatima Zahra
Keywords
Related Articles
- EP ID EP718830
- DOI https://doi.org/10.46889/JDR.2023.42012
- Views 53
- Downloads 0
Chronic Recalcitrant Lesions of an Enlarged Limb: Consider Parkes Weber Syndrome
In this case, we diagnosed the patient with Parkes Weber syndrome. This syndrome is considered by some experts as a sub-form of the Klippel-Trenaunay syndrome. Both syndromes are defined by congenital vascular malformati...
Impacts of the COVID-19 Pandemic to the Skin and to Professionals Caring for the Skin
This is a brief review on the impact of Coronavirus disease 2019 (COVID-19) pandemic on the skin and the practice of dermatology. There are many skin manifestations of COVID-19. The most characteristic one would be mu...
Neutrophilic Sebaceous Adenitis A Challenger Diagnosis with Favorable Response to Dapsone, Contribution of Two News Cases
Neutrophilic Sebaceous Adenitis (NSA) is a rare disorder of unknown cause, characterized by circinate plaques on the face and histologically by neutrophilic inflammation of the sebaceous glands accompanied by necrotic se...
Autoimmune Diseases a Late Complication of Toxic Epidermal Necrolysis: A Case Report
Background: Toxic Epidermal Necrolysis (TEN) is a serious adverse drug reaction causing a potentially fatal mucocutaneous bullous rash and epithelial detachment. It is increasingly recognized that survivors may develo...
Antibodies Against Melanoma Antigens – Clinical and Therapeutical Markers
Melanoma-Associated Antigens (MAA) are correlated with tumor development, progression and metastatic dissemination. MAA can be targeted in immunotherapy by specific antibodies or by cytotoxic T-cells. MAA are actually se...