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[Clinical Picture] Generalised cowpox virus infection

20:15 EDT 29 Jun 2017 | The Lancet

A 24-year-old man presented to our dermatology clinic with three haemorrhagic partially ulcerated nodules located in the right groin, surrounded by inflammation and oedema, which had evolved over the course of 1 week (figure), and fatigue. He had identical isolated skin lesions on the right shoulder, left knee, and left ankle. On examination he was febrile (temperature 38·5°C) and had tender generalised lymphadenopathy. He had no signs or personal history of atopy (atopic dermatitis, hay fever, asthma), although family history was positive for a sister with dermatitis.

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