Is this lesion caused by a splinter?
A farmer shows you a lesion on her thumb, believing it is the result of a splinter. Can you diagnose the problem and answer the five CPD questions?
A local farmer comes into the pharmacy to ask your advice about an infection on her thumb. She says she thinks she has a splinter in the wound and would like your advice on how to remove it.
QUESTIONS
1. This strange lesion has been caused by a splinter, as the farmer believes.
True or false?
2. This type of lesion may take a month to develop, and grows very slowly.
True or false?
3. The condition usually resolves without treatment after 35 days.
True or false?
4. Secondary bacterial infections are common.
True or false?
5. This type of lesion is most common on the feet and face.
True or false?
DISCUSSION
1. False. This is orf, a viral infection caught from infected sheep and goats.
2. False. Orfs typically occur one week after contact with infected animals.
3. True. The condition is self-limiting but lesions will take weeks to settle.
4. True. If suspected, these should be treated with oral or topical antibiotics.
5. False. The hands are the most commonly affected areas.
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