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Monkeypox: Painful, itchy skin lesions located in the genital area
Given the current monkeypox outbreak, it is important to consider different clinical courses. These include skin changes/lesions that are primarily located at the suspected vaccination sites, a small proportion of rashes and the onset of general symptoms only as the disease progresses. Ricardo Niklas Werner and colleagues present the case of a 30-year-old man with painful, itchy skin lesions that were primarily located in the genital area and had existed for ten days. The examination revealed skin-colored, centrally depressed, partly ulcerated, fibrin-covered papules and hemorrhagic crusts up to 1 cm in diameter on the penis, scrotum and lower abdomen, and to a lesser extent elsewhere, as well as inguinal lymphadenopathy. Because of …
Monkeypox: Painful, itchy skin lesions located in the genital area
Given the current monkeypox outbreak, it is important to consider different clinical courses. These include skin changes/lesions that are primarily located at the suspected vaccination sites, a small proportion of rashes and the onset of general symptoms only as the disease progresses.
Ricardo Niklas Werner and colleagues present the case of a 30-year-old man with painful, itchy skin lesions that were primarily located in the genital area and had existed for ten days. The examination revealed skin-colored, centrally depressed, partly ulcerated, fibrin-covered papules and hemorrhagic crusts up to 1 cm in diameter on the penis, scrotum and lower abdomen, and to a lesser extent elsewhere, as well as inguinal lymphadenopathy. Due to the patient's history of multiple male sexual partners, Werner et al. Suspicion of monkeypox despite the limited spatial extent of the rash and the delayed onset of general symptoms. PCR analysis of a lesion swab confirmed the diagnosis of the West African variant of monkeypox.
Source:
German Medical Journal International
Reference:
Werner, RN, et al. (2022) Monkeypox: a localized skin rash followed by general symptoms. German Medical Journal International. doi.org/10.3238/arztebl.m2022.0250.
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