Infections cutanées à poxvirus

H Bocquet (Ancien chef de clinique-assistant), M Bagot (Professeur des Universités, praticien hospitalier)
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Abstract

Poxviruses are DNA viruses that infect humans and animals. Their strong tropism for the skin explains why skin lesions are consistently present in humans. Smallpox caused devastating epidemics in the past, with mortality rates of about 30%, but was eradicated in 1980 by mass immunization with the vaccinia virus. Orthopoxviruses, such as monkeypoxvirus or cowpoxvirus, cause vesicular eruptions that can be severe but are extremely uncommon. Orf disease and milkers’ nodules are caused by parapoxviruses that usually infect livestock. Both diseases manifest as pseudotumoral nodules over the limbs that clear spontaneously. Molluscum contagiosum presents as shiny umbilicated papules and is seen mainly in children and young adults. In patients with cell-mediated immune deficiencies, most notably due to HIV infection, molluscum contagiosum lesions are more common than in the general population, often profuse, and difficult to treat.

痘病毒皮肤感染
痘病毒是感染人类和动物的DNA病毒。它们对皮肤的强烈嗜性解释了为什么皮肤损伤一直存在于人类身上。天花过去曾造成毁灭性的流行病,死亡率约为30%,但在1980年通过痘苗病毒的大规模免疫接种被根除。正痘病毒,如猴痘病毒或牛痘病毒,会导致水泡爆发,这种情况可能很严重,但极为罕见。Orf病和挤奶者结节是由通常感染牲畜的副痘病毒引起的。这两种疾病都表现为四肢上的假肿瘤结节,可自行清除。传染性软体动物表现为有光泽的脐丘疹,主要见于儿童和年轻人。在细胞介导的免疫缺陷患者中,最明显的是由HIV感染引起的,传染性软体动物病变比普通人群更常见,通常大量,难以治疗。
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