Sonography of monkeypox cutaneous lesions

The present global outbreak of monkeypox has reached more than 79,000 cases by November 2022. While clinical features have been extensively studied, ultrasound findings in monkeypox skin lesions have not been described to date. In our work, we performed a complete sonographic study with Doppler and...

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Published in:	Journal of ultrasound Vol. 26; no. 1; pp. 307 - 311
Main Authors:	Rodríguez-Cuadrado, F. J., Castaño-Fernández, J. L., Elosua-González, M., Roustan-Gullón, G., Alfageme-Roldán, F.
Format:	Journal Article
Language:	English
Published:	Cham Springer International Publishing 01-03-2023 Springer Nature B.V
Subjects:	Case Report Elasticity Imaging Techniques Humans Lesions Medicine Medicine & Public Health Monkeypox Mpox (monkeypox) Polymerase chain reaction Skin Diseases Stiffness Thickening Ultrasonography Ultrasonography, Doppler Ultrasound Sonography Cutaneous ultrasound Monkeypox Dermatology Virology
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Abstract	The present global outbreak of monkeypox has reached more than 79,000 cases by November 2022. While clinical features have been extensively studied, ultrasound findings in monkeypox skin lesions have not been described to date. In our work, we performed a complete sonographic study with Doppler and elastography of 3 patients with polymerase chain reaction-proven monkeypox. The most characteristic findings in skin lesions were hyperechoic epidermal thickening, dermo-hypodermal thickening with focal hypoechogenicity and increased intralesional vascularization. Regarding lymphadenopathies, we found vascularization of hilar distribution and an increased cortical stiffness and shoft hiliar area.
AbstractList	The present global outbreak of monkeypox has reached more than 79,000 cases by November 2022. While clinical features have been extensively studied, ultrasound findings in monkeypox skin lesions have not been described to date. In our work, we performed a complete sonographic study with Doppler and elastography of 3 patients with polymerase chain reaction-proven monkeypox. The most characteristic findings in skin lesions were hyperechoic epidermal thickening, dermo-hypodermal thickening with focal hypoechogenicity and increased intralesional vascularization. Regarding lymphadenopathies, we found vascularization of hilar distribution and an increased cortical stiffness and shoft hiliar area.
Author	Roustan-Gullón, G. Elosua-González, M. Rodríguez-Cuadrado, F. J. Castaño-Fernández, J. L. Alfageme-Roldán, F.
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References	Alfageme F, Roustan G. Ecografía de las infecciones bacterianas de la piel y tejidos blandos. In: Ecografía en Dermatología y Dermoestética. Madrid: Editorial Médica Panamericana, 2017: 45–50. AlsaawiAAlrajhiKAlshehriAAbabtainAAlsolamySUltrasonography for the diagnosis of patients with clinically suspected skin and soft tissue infections: a systematic review of the literatureEur J Emerg Med201724316216910.1097/MEJ.000000000000034026485694 CrisanDWortsmanXAlfagemeFCatalanoOBadeaAScharffetter-KochanekKSindrilaruACrisanMUltrasonography in dermatologic surgery: revealing the unseen for improved surgical planningJ Dtsch Dermatol Ges202220791392610.1111/ddg.1478135881098 Centers for Disease Control and Prevention: 2022 Monkeypox Outbreak Global Map. Data as of 15 Nov 2022. Consulted on 16th November 2022. Available in: https://www.cdc.gov/poxvirus/monkeypox/response/2022/world-map.html WortsmanXClaveriaPValenzuelaFMolinaMTWortsmanJSonography of acne vulgarisJ Ultrasound Med20143319310210.7863/ultra.33.1.9324371103 771_CR3 A Alsaawi (771_CR4) 2017; 24 X Wortsman (771_CR5) 2014; 33 771_CR1 D Crisan (771_CR2) 2022; 20
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SubjectTerms	Case Report Elasticity Imaging Techniques Humans Lesions Medicine Medicine & Public Health Monkeypox Mpox (monkeypox) Polymerase chain reaction Skin Diseases Stiffness Thickening Ultrasonography Ultrasonography, Doppler Ultrasound
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Title	Sonography of monkeypox cutaneous lesions
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