{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:54:56Z","timestamp":1787849696909,"version":"build-2784847793"},"reference-count":37,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,6,19]],"date-time":"2023-06-19T00:00:00Z","timestamp":1687132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Compared with previous geographically localized outbreaks of monkeypox (MPOX), the scale of the 2022 global mpox outbreak has been unprecedented, yet the clinical features of this outbreak remain incompletely characterized.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We identified patients diagnosed with mpox\u00a0by polymerase chain reaction (PCR;<jats:italic>n<\/jats:italic>\u2009=\u200936) from July to September 2022 at a single, tertiary care institution in the USA. Demographics, clinical presentation, infection course, and histopathologic features were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results and Conclusion<\/jats:title><jats:p>Men who have sex with men (89%) and people living with HIV (97%) were disproportionately affected. While fever and chills (56%) were common, some patients (23%) denied any prodromal symptoms. Skin lesions showed a wide range of morphologies, including papules and pustules, and lesions showed localized, not generalized, spread. Erythema was also less appreciable in skin of colour patients (74%). Atypical clinical features and intercurrent skin diseases masked the clinical recognition of several cases, which were ultimately diagnosed by PCR. Biopsies showed viral cytopathic changes consistent with Orthopoxvirus infections. All patients in this case series recovered without complications, although six patients (17%) with severe symptoms were treated with tecovirimat without complication.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.13517","type":"journal-article","created":{"date-parts":[[2023,6,20]],"date-time":"2023-06-20T00:41:25Z","timestamp":1687221685000},"page":"1056-1065","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A plague passing over: Clinical features of the 2022 mpox outbreak in patients of color living with HIV"],"prefix":"10.1111","volume":"24","author":[{"given":"Zoha K.","family":"Momin","sequence":"first","affiliation":[{"name":"Department of Dermatology, UT Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleuna","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Dermatology, UT Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis W.","family":"Vandergriff","sequence":"additional","affiliation":[{"name":"Department of Dermatology, UT Southwestern Medical Center Dallas Texas USA"},{"name":"Department of Pathology, UT Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason E.","family":"Bowling","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, UT Health Science Center San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bahir","family":"Chamseddin","sequence":"additional","affiliation":[{"name":"Department of Dermatology, UT Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arturo","family":"Dominguez","sequence":"additional","affiliation":[{"name":"Department of Dermatology, UT Southwestern Medical Center Dallas Texas USA"},{"name":"Department of Internal Medicine, UT Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory A.","family":"Hosler","sequence":"additional","affiliation":[{"name":"Department of Dermatology, UT Southwestern Medical Center Dallas Texas USA"},{"name":"Department of Pathology, UT Southwestern Medical Center Dallas Texas USA"},{"name":"ProPath Dermatopathology Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4543-8295","authenticated-orcid":false,"given":"Richard C.","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Dermatology, UT Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Kitchell","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, UT Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1101\/cshperspect.a010199"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/524743"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/v13010043"},{"key":"e_1_2_10_5_1","volume-title":"Monkeypox: Experts Give Virus Variants New Names","author":"WHO","year":"2022"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2019.03.001"},{"key":"e_1_2_10_7_1","unstructured":"CDC.Monkeypox Outbreak Global Map. 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