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What disease looks like monkey pox?

Published in Dermatological Mimics 2 mins read

What Disease Looks Like Monkeypox?

Several conditions can present with rashes that bear a striking resemblance to the various stages of the monkeypox rash progression, making differential diagnosis important.

Conditions with Rashes Similar to Monkeypox

The distinctive rash of monkeypox, which evolves through several stages from spots to blisters and then scabs, can sometimes be confused with other infections. This is because a variety of other diseases also cause skin lesions or rashes that may mimic singular or multiple aspects of the monkeypox rash's development.

The conditions that can present with rashes resembling monkeypox include:

  • Molluscum Contagiosum: This viral skin infection produces small, firm, dome-shaped bumps with a central indentation, which can sometimes be mistaken for early monkeypox lesions.
  • Syphilis: Particularly in its secondary stage, syphilis can cause a widespread skin rash that may appear as red or reddish-brown lesions on various parts of the body, potentially resembling some forms of the monkeypox rash.
  • Varicella Zoster (Chickenpox and Shingles): Chickenpox is well-known for its itchy, blister-like rash that evolves into scabs, a progression that can look similar to certain phases of the monkeypox rash. Shingles, caused by the reactivation of the same virus, also produces blisters.
  • Measles: While primarily known for its flat, red rash, measles can, at certain points in its progression, display skin manifestations that might be confused with other viral rashes, including monkeypox in some contexts.
  • Rickettsialpox: This uncommon disease, transmitted by mites, causes an initial papule (a small, raised bump) followed by a widespread rash of similar-looking lesions that can be mistaken for chickenpox or even monkeypox.
  • Scabies: An intensely itchy skin condition caused by mites burrowing into the skin, leading to small, red bumps or blisters. These lesions, especially when numerous, could potentially be confused with early or atypical monkeypox rashes.

These conditions highlight the importance of careful clinical evaluation and laboratory testing for accurate diagnosis, as their rash presentations can overlap significantly with that of monkeypox.