Mpox (Monkeypox) — Make Sure You See It If It’s Seeing You

A quick look at this one could save a life.

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Smart Practice: Look at the pictures in these articles and keep mpox on your differential diagnosis when called to the Emergency Department for patients with a hand rash.

What’s the Claim?

CORRelations covering case reports? Not often, but in this case, yes. About a virus? Yes, again. Mpox is an infectious disease caused by monkeypox virus (MPXV), which is in the family of variola virus. Although it’s been reported in humans for over 50 years, there was an outbreak in 2022 which is abating but not yet gone. A rash is the most-common presenting symptom, and that rash very often appears on the hands. The study we’re covering is a report of two cases, but because both patients presented to one center and were seen by hand surgeons, it seems possible that you’ll see this — or worse, it’ll see you but you won’t see it. Let’s not let that happen.

One of the two patients died, so lean in.

How’s It Stack Up?

There’s nothing else like this out there that we know of, but this case report was helpful for a few reasons: