{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:44:47Z","timestamp":1777927487829,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T00:00:00Z","timestamp":1712880000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>MPOX (Monkeypox) viral infection, a zoonotic disease previously confined to the African sub-continent, has caught attention worldwide recently due to its resurgence in a new \u2018avatar\u2019 among urban communities. Dermatologists in the U. A. E. started to see patients with fever and a self-limiting pustular necrotic rash that was negative for all other infectious investigations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a prospective observational multicenter clinical study of the demographics, skin manifestations, and outcomes of patients presenting with necrotic pustular lesions and\/or fever.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>35 cases of PCR confirmed MPOX cases, mostly in the expatriate population, were followed up and found to have high-risk heterosexual contact on an average of 1\u00a0week prior to disease onset. We found that they have characteristic annular pustular lesions with necrotic center or \u201cSmoke ring pustules\u2019 in all cases. Lesion tenderness and predilection for the lower abdomen, pubic area, and genitalia were observed. Most cases were systemically stable, with fever lasting for an average of 4\u00a0days and elevated CRP levels. Genital lesions were prone to secondary bacterial infections. The disease was severe, with larger annular plaques in one of our patients found to be living with HIV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The overall prognosis in healthy individuals is good, with lesions healing within an average of 2\u00a0weeks without scarring. \u2018New world MPOX\u2019 should be unclassified from zoonosis to a sexually transmitted infection (STI) capable of transmission in an urban population. Our findings can help in early clinical suspicion and differentiation from other STI\u2019s for primary and secondary health care physicians.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09564624241244832","type":"journal-article","created":{"date-parts":[[2024,4,13]],"date-time":"2024-04-13T00:24:35Z","timestamp":1712967875000},"page":"620-626","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["\u2018Monkeypox 2.0\u2019: Case series on a reconditioned virus causing sexually transmissible disease in urban population"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1702-3554","authenticated-orcid":false,"given":"Jaheersha","family":"Pakran","sequence":"first","affiliation":[{"name":"Dermatology and Aesthetic center, Rashid hospital, Dubai Health Authority, Dubai, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amal Mohammed","family":"Alsaberi","sequence":"additional","affiliation":[{"name":"Dermatology and Aesthetic center, Rashid hospital, Dubai Health Authority, Dubai, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amani","family":"AlFalasi","sequence":"additional","affiliation":[{"name":"Dermatology and Aesthetic center, Rashid hospital, Dubai Health Authority, Dubai, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarek Mohamed Karam Husein","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Dermatology and Aesthetic center, Rashid hospital, Dubai Health Authority, Dubai, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amel Abdalla Eisa Fadl","family":"Alnuaimi","sequence":"additional","affiliation":[{"name":"Dermatology and Aesthetic center, Rashid hospital, Dubai Health Authority, Dubai, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srikumar","family":"Goturu","sequence":"additional","affiliation":[{"name":"Derm Centre, Joseph\u2019s Polyclinic, Al Karama, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muneer","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Aster Clinic, Dubai, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reena Mary","family":"Abraham","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Prime Medical Center, Ajman, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vidya Lakshmi","family":"Sundaramurthi","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Prime Medical Centre, Dubai, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aneesh Kunnath","family":"Parambath","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Aster Jubilee Medical Centre, Aster Clinic, Dubai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beena","family":"Jose","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Aster Medical Center, Dubai, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Divya","family":"Kamat","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Union Medical Centre, Aster Clinic, Al Karama, Dubai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thencheri Cheriath","family":"Satish","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Medeor Hospital, Dubai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juwariya Tasneem","family":"Syeda","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Aster Jubilee Medical Centre, Aster Clinic, Dubai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lubna","family":"Gul","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Zulekha Hospital, Dubai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohini","family":"Mathias","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Aster Hospital and Aster Day Surgery Centre, Mankhool, Dubai"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sajeela","family":"Rasheed Vattiyamveetil","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Abeer Alnoor Polyclinic, Dubai, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaheela","family":"Backar","sequence":"additional","affiliation":[{"name":"Department of Dermatology, NMC Royal Hospital, Abudhabi, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C Vijay","family":"Krishna","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Thumbay University Hospital, Ajman, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laila","family":"Al Dhabal","sequence":"additional","affiliation":[{"name":"Department of Infectious disease, Rashid Hospital, Dubai Health Authority, Dubai, UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,4,12]]},"reference":[{"key":"bibr1-09564624241244832","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0010141"},{"key":"bibr2-09564624241244832","doi-asserted-by":"crossref","first-page":"e072410","DOI":"10.1136\/bmj-2022-072410","volume":"378","author":"Patel 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