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Mohsin Malik, MD; Michael Bharier, MD; Steven Tahan, MD; Leslie Robinson-Bostom, MD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Orf, also known as ecthyma contagiosum, is a cutaneous infection caused by a poxvirus (subgroup paravaccinia) typically transmitted to humans by contact with infected sheep and goats. Orf infection most commonly occurs in professional meat handlers and sheep herders, and so it is generally considered a result of occupational exposure.¹ However, several reports from Belgium and Turkey describe orf transmission from animals handled during the Muslim observance of Eid-al-Adha (Feast of the Sacrifice).^1-4 We describe herein a patient with, to our knowledge, the first case of orf acquired during a religious practice in the Western hemisphere.

Report of a Case

A 29-year-old man of Middle Eastern descent was seen for a solitary 1.2-cm pink nodule with a central keratotic crust, white outer ring, and erythematous border on the dorsum of the right thumb (Figure 1). The nodule initially developed 2 . . . [Full Text of this Article]

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