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The patient lived in the countryside and was in contact with sheep. On examination, he presented a 1.5<span class="elsevierStyleHsp" style=""></span>cm nodule with a scab in the center, surrounded by a whitish halo and peripheral erythema (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). At dermatoscopy (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B), we could notice a central scab (fine black arrow), whitish areas (thick black arrow), hairpin vessels (thin white arrow) and desquamation (thick white arrow). Histology showed epidermal hyperplasia and cell vacuolization with eosinophilic cytoplasmic inclusions (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), all compatible with Orf nodule. The injury was resolved in 30 days with local cures.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">A nodule of Orf is a zoonosis caused by the Orf virus, a <span class="elsevierStyleItalic">Parapoxvirus</span> transmitted from sheep and goats causing scabby lesions around the snout known as bovine papular stomatitis, being infectious to humans by direct contact. After a short incubation period, the lesion appears at the site of inoculation, develops in 6 clinical phases and heals spontaneously. For the diagnosis, the history of contact with animals and the clinical appearance of the lesion are crucial. Dermoscopy can help us find a diagnosis. However, the diagnosis of certainty will be reached through histology and PCR.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Dañino García M, Conejo-Mir J, Zulueta Dorado T, Bernabeu-Wittel J. Nódulo eritematoso en un niño. Med Clin (Barc). 2019;153:45.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 445 "Ancho" => 950 "Tamanyo" => 46418 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 675 "Ancho" => 900 "Tamanyo" => 106268 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015300000001/v1_201906260821/S2387020619302815/v1_201906260821/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015300000001/v1_201906260821/S2387020619302815/v1_201906260821/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020619302815?idApp=UINPBA00004N" ]
Journal Information
Vol. 153. Issue 1.
Pages 45 (July 2019)
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Vol. 153. Issue 1.
Pages 45 (July 2019)
Image in medicine
Erythematous nodule in a child
Nódulo eritematoso en un niño
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