Jason is a 40 year old sheep farmer who presents with 2 week history of hand lesions, they are painless, not itchy and he is otherwise well.

Causes of Orf
Parapox virus
Transmitted by sheep and goats

Who is affected by Orf?
Sheep farmers
Shearers
Freezing workers
Vets
Farmers wives

Complications of Orf
Small blisters
Can be widespread
Secondary allergy
Erythema multifome

Treatment of Orf
Nil
Treat secondary bacterial infection if needed
Shave excision of large lesions