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Cowpox - Wikipedia

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<div class="vector-toc-text"> <span class="vector-toc-numb">3.1</span> <span>British Parliament</span> </div> </a> <ul id="toc-British_Parliament-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Kinepox" class="vector-toc-list-item vector-toc-level-2"> <a class="vector-toc-link" href="#Kinepox"> <div class="vector-toc-text"> <span class="vector-toc-numb">3.2</span> <span>Kinepox</span> </div> </a> <ul id="toc-Kinepox-sublist" class="vector-toc-list"> </ul> </li> </ul> </li> <li id="toc-Prevention" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Prevention"> <div class="vector-toc-text"> <span class="vector-toc-numb">4</span> <span>Prevention</span> </div> </a> <ul id="toc-Prevention-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Citations" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Citations"> <div class="vector-toc-text"> <span class="vector-toc-numb">5</span> <span>Citations</span> </div> </a> <ul id="toc-Citations-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-General_sources" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#General_sources"> <div class="vector-toc-text"> <span class="vector-toc-numb">6</span> <span>General sources</span> </div> </a> <ul id="toc-General_sources-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header class="mw-body-header vector-page-titlebar"> <nav aria-label="Contents" class="vector-toc-landmark"> <div id="vector-page-titlebar-toc" class="vector-dropdown vector-page-titlebar-toc vector-button-flush-left" title="Table of Contents" > <input type="checkbox" id="vector-page-titlebar-toc-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-page-titlebar-toc" class="vector-dropdown-checkbox " aria-label="Toggle the table of contents" > <label id="vector-page-titlebar-toc-label" for="vector-page-titlebar-toc-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--icon-only " aria-hidden="true" ><span class="vector-icon mw-ui-icon-listBullet mw-ui-icon-wikimedia-listBullet"></span> <span class="vector-dropdown-label-text">Toggle the table of contents</span> </label> <div class="vector-dropdown-content"> <div id="vector-page-titlebar-toc-unpinned-container" class="vector-unpinned-container"> </div> </div> </div> </nav> <h1 id="firstHeading" class="firstHeading mw-first-heading"><span class="mw-page-title-main">Cowpox</span></h1> <div id="p-lang-btn" class="vector-dropdown mw-portlet mw-portlet-lang" > <input type="checkbox" id="p-lang-btn-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-p-lang-btn" class="vector-dropdown-checkbox 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Available in 31 languages" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-31" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">31 languages</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D8%AC%D8%AF%D8%B1%D9%8A_%D8%A7%D9%84%D8%A8%D9%82%D8%B1" title="جدري البقر – Arabic" lang="ar" hreflang="ar" data-title="جدري البقر" data-language-autonym="العربية" data-language-local-name="Arabic" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-ca mw-list-item"><a href="https://ca.wikipedia.org/wiki/Virus_de_la_verola_bovina" title="Virus de la verola bovina – Catalan" lang="ca" hreflang="ca" data-title="Virus de la verola bovina" data-language-autonym="Català" data-language-local-name="Catalan" class="interlanguage-link-target"><span>Català</span></a></li><li class="interlanguage-link interwiki-de mw-list-item"><a href="https://de.wikipedia.org/wiki/Kuhpocken" title="Kuhpocken – German" lang="de" hreflang="de" data-title="Kuhpocken" data-language-autonym="Deutsch" data-language-local-name="German" class="interlanguage-link-target"><span>Deutsch</span></a></li><li class="interlanguage-link interwiki-es mw-list-item"><a href="https://es.wikipedia.org/wiki/Virus_de_la_viruela_bovina" title="Virus de la viruela bovina – Spanish" lang="es" hreflang="es" data-title="Virus de la viruela bovina" data-language-autonym="Español" data-language-local-name="Spanish" class="interlanguage-link-target"><span>Español</span></a></li><li class="interlanguage-link interwiki-eo mw-list-item"><a href="https://eo.wikipedia.org/wiki/Bovovariolo" title="Bovovariolo – Esperanto" lang="eo" hreflang="eo" data-title="Bovovariolo" data-language-autonym="Esperanto" data-language-local-name="Esperanto" class="interlanguage-link-target"><span>Esperanto</span></a></li><li class="interlanguage-link interwiki-fa mw-list-item"><a href="https://fa.wikipedia.org/wiki/%D8%A2%D8%A8%D9%84%D9%87_%DA%AF%D8%A7%D9%88%DB%8C" title="آبله گاوی – Persian" lang="fa" hreflang="fa" data-title="آبله گاوی" data-language-autonym="فارسی" data-language-local-name="Persian" class="interlanguage-link-target"><span>فارسی</span></a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/Cowpox" title="Cowpox – French" lang="fr" hreflang="fr" data-title="Cowpox" data-language-autonym="Français" data-language-local-name="French" class="interlanguage-link-target"><span>Français</span></a></li><li class="interlanguage-link interwiki-ga mw-list-item"><a href="https://ga.wikipedia.org/wiki/Bolgach_b%C3%B3" title="Bolgach bó – Irish" lang="ga" hreflang="ga" data-title="Bolgach bó" data-language-autonym="Gaeilge" data-language-local-name="Irish" class="interlanguage-link-target"><span>Gaeilge</span></a></li><li class="interlanguage-link interwiki-ko mw-list-item"><a href="https://ko.wikipedia.org/wiki/%EC%9A%B0%EB%91%90_(%EC%A7%88%EB%B3%91)" title="우두 (질병) – Korean" lang="ko" hreflang="ko" data-title="우두 (질병)" data-language-autonym="한국어" data-language-local-name="Korean" class="interlanguage-link-target"><span>한국어</span></a></li><li class="interlanguage-link interwiki-ha mw-list-item"><a href="https://ha.wikipedia.org/wiki/Cowpox" title="Cowpox – Hausa" lang="ha" hreflang="ha" data-title="Cowpox" data-language-autonym="Hausa" data-language-local-name="Hausa" class="interlanguage-link-target"><span>Hausa</span></a></li><li class="interlanguage-link interwiki-io mw-list-item"><a href="https://io.wikipedia.org/wiki/Vacino" title="Vacino – Ido" lang="io" hreflang="io" data-title="Vacino" data-language-autonym="Ido" data-language-local-name="Ido" class="interlanguage-link-target"><span>Ido</span></a></li><li class="interlanguage-link interwiki-id mw-list-item"><a href="https://id.wikipedia.org/wiki/Cacar_sapi" title="Cacar sapi – Indonesian" lang="id" hreflang="id" data-title="Cacar sapi" data-language-autonym="Bahasa Indonesia" data-language-local-name="Indonesian" class="interlanguage-link-target"><span>Bahasa Indonesia</span></a></li><li class="interlanguage-link interwiki-it mw-list-item"><a href="https://it.wikipedia.org/wiki/Vaiolo_bovino" title="Vaiolo bovino – Italian" lang="it" hreflang="it" data-title="Vaiolo bovino" data-language-autonym="Italiano" data-language-local-name="Italian" class="interlanguage-link-target"><span>Italiano</span></a></li><li class="interlanguage-link interwiki-he mw-list-item"><a href="https://he.wikipedia.org/wiki/%D7%90%D7%91%D7%A2%D7%91%D7%95%D7%A2%D7%95%D7%AA_%D7%94%D7%A4%D7%A8%D7%95%D7%AA" title="אבעבועות הפרות – Hebrew" lang="he" hreflang="he" data-title="אבעבועות הפרות" data-language-autonym="עברית" data-language-local-name="Hebrew" class="interlanguage-link-target"><span>עברית</span></a></li><li class="interlanguage-link interwiki-la mw-list-item"><a href="https://la.wikipedia.org/wiki/Boa_(morbus)" title="Boa (morbus) – Latin" lang="la" hreflang="la" data-title="Boa (morbus)" data-language-autonym="Latina" data-language-local-name="Latin" class="interlanguage-link-target"><span>Latina</span></a></li><li class="interlanguage-link interwiki-hu mw-list-item"><a href="https://hu.wikipedia.org/wiki/Teh%C3%A9nhiml%C5%91" title="Tehénhimlő – Hungarian" lang="hu" hreflang="hu" data-title="Tehénhimlő" data-language-autonym="Magyar" data-language-local-name="Hungarian" class="interlanguage-link-target"><span>Magyar</span></a></li><li class="interlanguage-link interwiki-nl mw-list-item"><a href="https://nl.wikipedia.org/wiki/Koepokken" title="Koepokken – Dutch" lang="nl" hreflang="nl" data-title="Koepokken" data-language-autonym="Nederlands" data-language-local-name="Dutch" class="interlanguage-link-target"><span>Nederlands</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E7%89%9B%E7%97%98" title="牛痘 – Japanese" lang="ja" hreflang="ja" data-title="牛痘" data-language-autonym="日本語" data-language-local-name="Japanese" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/Krowianka" title="Krowianka – Polish" lang="pl" hreflang="pl" data-title="Krowianka" data-language-autonym="Polski" data-language-local-name="Polish" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Var%C3%ADola_bovina" title="Varíola bovina – Portuguese" lang="pt" hreflang="pt" data-title="Varíola bovina" data-language-autonym="Português" data-language-local-name="Portuguese" class="interlanguage-link-target"><span>Português</span></a></li><li class="interlanguage-link interwiki-ru mw-list-item"><a href="https://ru.wikipedia.org/wiki/%D0%9A%D0%BE%D1%80%D0%BE%D0%B2%D1%8C%D1%8F_%D0%BE%D1%81%D0%BF%D0%B0" title="Коровья оспа – Russian" lang="ru" hreflang="ru" data-title="Коровья оспа" data-language-autonym="Русский" data-language-local-name="Russian" class="interlanguage-link-target"><span>Русский</span></a></li><li class="interlanguage-link interwiki-si mw-list-item"><a href="https://si.wikipedia.org/wiki/%E0%B6%9C%E0%B7%80_%E0%B7%80%E0%B7%83%E0%B7%96%E0%B6%BB%E0%B7%92%E0%B6%BA" title="ගව වසූරිය – Sinhala" lang="si" hreflang="si" data-title="ගව වසූරිය" data-language-autonym="සිංහල" data-language-local-name="Sinhala" class="interlanguage-link-target"><span>සිංහල</span></a></li><li class="interlanguage-link interwiki-simple mw-list-item"><a href="https://simple.wikipedia.org/wiki/Cowpox" title="Cowpox – Simple English" lang="en-simple" hreflang="en-simple" data-title="Cowpox" data-language-autonym="Simple English" data-language-local-name="Simple English" class="interlanguage-link-target"><span>Simple English</span></a></li><li class="interlanguage-link interwiki-sl mw-list-item"><a href="https://sl.wikipedia.org/wiki/Goveje_koze" title="Goveje koze – Slovenian" lang="sl" hreflang="sl" data-title="Goveje koze" data-language-autonym="Slovenščina" data-language-local-name="Slovenian" class="interlanguage-link-target"><span>Slovenščina</span></a></li><li class="interlanguage-link interwiki-fi mw-list-item"><a href="https://fi.wikipedia.org/wiki/Lehm%C3%A4rokko" title="Lehmärokko – Finnish" lang="fi" hreflang="fi" data-title="Lehmärokko" data-language-autonym="Suomi" data-language-local-name="Finnish" class="interlanguage-link-target"><span>Suomi</span></a></li><li class="interlanguage-link interwiki-sv mw-list-item"><a href="https://sv.wikipedia.org/wiki/Kokoppor" title="Kokoppor – Swedish" lang="sv" hreflang="sv" data-title="Kokoppor" data-language-autonym="Svenska" data-language-local-name="Swedish" class="interlanguage-link-target"><span>Svenska</span></a></li><li class="interlanguage-link interwiki-tl mw-list-item"><a href="https://tl.wikipedia.org/wiki/Bulutong-baka" title="Bulutong-baka – Tagalog" lang="tl" hreflang="tl" data-title="Bulutong-baka" data-language-autonym="Tagalog" data-language-local-name="Tagalog" class="interlanguage-link-target"><span>Tagalog</span></a></li><li class="interlanguage-link interwiki-tr mw-list-item"><a href="https://tr.wikipedia.org/wiki/S%C4%B1%C4%9F%C4%B1r_%C3%A7i%C3%A7e%C4%9Fi" title="Sığır çiçeği – Turkish" lang="tr" hreflang="tr" data-title="Sığır çiçeği" data-language-autonym="Türkçe" data-language-local-name="Turkish" class="interlanguage-link-target"><span>Türkçe</span></a></li><li class="interlanguage-link interwiki-uk mw-list-item"><a href="https://uk.wikipedia.org/wiki/%D0%9A%D0%BE%D1%80%D0%BE%D0%B2%27%D1%8F%D1%87%D0%B0_%D0%B2%D1%96%D1%81%D0%BF%D0%B0" title="Коров&#039;яча віспа – Ukrainian" lang="uk" hreflang="uk" data-title="Коров&#039;яча віспа" data-language-autonym="Українська" data-language-local-name="Ukrainian" class="interlanguage-link-target"><span>Українська</span></a></li><li class="interlanguage-link interwiki-zh-yue mw-list-item"><a href="https://zh-yue.wikipedia.org/wiki/%E7%89%9B%E7%97%98" title="牛痘 – Cantonese" lang="yue" hreflang="yue" data-title="牛痘" data-language-autonym="粵語" data-language-local-name="Cantonese" class="interlanguage-link-target"><span>粵語</span></a></li><li class="interlanguage-link interwiki-zh mw-list-item"><a href="https://zh.wikipedia.org/wiki/%E7%89%9B%E7%97%98" title="牛痘 – Chinese" lang="zh" hreflang="zh" data-title="牛痘" data-language-autonym="中文" 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class="mw-content-ltr mw-parser-output" lang="en" dir="ltr"><div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Disease of humans and animals</div> <table class="infobox biota" style="text-align: left; width: 200px; font-size: 100%"> <tbody><tr> <th colspan="2" style="color:inherit; text-align: center; background-color: rgb(250,250,190)">Cowpox virus </th></tr> <tr> <td colspan="2" style="text-align: center"><span class="mw-default-size" typeof="mw:File/Frameless"><a href="/wiki/File:Cowpox_virus.jpg" class="mw-file-description"><img alt="Electron micrograph of three Cowpox virus particles" src="//upload.wikimedia.org/wikipedia/commons/thumb/f/fc/Cowpox_virus.jpg/250px-Cowpox_virus.jpg" decoding="async" width="220" height="300" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/f/fc/Cowpox_virus.jpg/330px-Cowpox_virus.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/f/fc/Cowpox_virus.jpg/500px-Cowpox_virus.jpg 2x" data-file-width="2745" data-file-height="3744" /></a></span> </td></tr> <tr> <td colspan="2" style="text-align: center; font-size: 88%"><a href="/wiki/Electron_micrograph" class="mw-redirect" title="Electron micrograph">Electron micrograph</a> of three Cowpox virus particles </td></tr> <tr> <th colspan="2" style="color:inherit; min-width:15em; text-align: center; background-color: rgb(250,250,190)"><a href="/wiki/Virus_classification" title="Virus classification">Virus classification</a> <span class="plainlinks taxobox-edit-taxonomy skin-invert" style="font-size:smaller; float:right; padding-right:0.4em; margin-left:-3em;"><span typeof="mw:File"><a href="/wiki/Template:Taxonomy/Orthopoxvirus" title="Edit this classification"><img alt="Edit this classification" src="//upload.wikimedia.org/wikipedia/commons/thumb/8/8a/OOjs_UI_icon_edit-ltr.svg/15px-OOjs_UI_icon_edit-ltr.svg.png" decoding="async" width="15" height="15" class="mw-file-element" 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<td>Family: </td> <td><a href="/wiki/Poxviridae" title="Poxviridae"><i>Poxviridae</i></a> </td></tr> <tr> <td>Genus: </td> <td><a href="/wiki/Orthopoxvirus" title="Orthopoxvirus"><i>Orthopoxvirus</i></a> </td></tr> <tr> <td>Species: </td> <td><div style="display:inline" class="species"><i><b>Orthopoxvirus cowpox</b></i></div> </td></tr> </tbody></table><style data-mw-deduplicate="TemplateStyles:r1238732961">@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox.biota tr{background:transparent!important}html.skin-theme-clientpref-night .mw-parser-output .infobox.biota img{background:transparent}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox.biota tr{background:transparent!important}html.skin-theme-clientpref-os .mw-parser-output .infobox.biota img{background:white}}.mw-parser-output .infobox.biota .taxobox-edit-taxonomy img{background:transparent!important}body.skin-vector .mw-parser-output table.biota.infobox{margin-top:0.5em}body.skin--responsive .mw-parser-output table.biota.infobox tr.taxonrow td{padding:2px 10px}</style> <div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Medical condition</div><style data-mw-deduplicate="TemplateStyles:r1257001546">.mw-parser-output .infobox-subbox{padding:0;border:none;margin:-3px;width:auto;min-width:100%;font-size:100%;clear:none;float:none;background-color:transparent}.mw-parser-output .infobox-3cols-child{margin:auto}.mw-parser-output .infobox .navbar{font-size:100%}@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-full-data:not(.notheme)>div:not(.notheme)[style]{background:#1f1f23!important;color:#f8f9fa}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-full-data:not(.notheme) div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><table class="infobox infobox-has-images-with-white-backgrounds"><tbody><tr><th colspan="2" class="infobox-above" style="background:#ccc">Cowpox</th></tr><tr><td colspan="2" class="infobox-full-data"><span class="mw-default-size" typeof="mw:File/Frameless"><a href="/wiki/File:Cowpox_eruption.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/8/87/Cowpox_eruption.jpg/250px-Cowpox_eruption.jpg" decoding="async" width="220" height="165" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/8/87/Cowpox_eruption.jpg/330px-Cowpox_eruption.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/8/87/Cowpox_eruption.jpg/500px-Cowpox_eruption.jpg 2x" data-file-width="600" data-file-height="450" /></a></span></td></tr><tr><td colspan="2" class="infobox-full-data">Cowpox lesions on patient's forearm on day 7 after onset of illness. The hemagglutinin gene of the isolate clustered with a Russian cowpox virus strain, and the more distantly, with other cowpox and vaccinia virus strains. The patient's dog had orthopoxvirus-specific antibodies, indicating a possible transmission route.<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup></td></tr><tr><th scope="row" class="infobox-label"><a href="/wiki/Medical_specialty" title="Medical specialty">Specialty</a></th><td class="infobox-data"><a href="/wiki/Infectious_diseases_(medical_specialty)" title="Infectious diseases (medical specialty)">Infectious diseases</a>, <a href="/wiki/Veterinary_medicine" title="Veterinary medicine">veterinary medicine</a>&#160;<span class="penicon autoconfirmed-show"><span class="mw-valign-text-top" typeof="mw:File/Frameless"><a href="https://www.wikidata.org/wiki/Q1066011?uselang=en#P1995" title="Edit this on Wikidata"><img alt="Edit this on Wikidata" src="//upload.wikimedia.org/wikipedia/en/thumb/8/8a/OOjs_UI_icon_edit-ltr-progressive.svg/20px-OOjs_UI_icon_edit-ltr-progressive.svg.png" decoding="async" width="10" height="10" class="mw-file-element" data-file-width="20" data-file-height="20" /></a></span></span></td></tr></tbody></table><style data-mw-deduplicate="TemplateStyles:r1236303919">@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-has-images-with-white-backgrounds img{background:white}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-has-images-with-white-backgrounds img{background:white}}</style> <p><b>Cowpox</b> is an infectious disease caused by Cowpox virus (CPXV).<sup id="cite_ref-Carroll_et_al.,_PloS_one_2011_2-0" class="reference"><a href="#cite_note-Carroll_et_al.,_PloS_one_2011-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> It presents with large <a href="/wiki/Vesicle_(dermatology)" class="mw-redirect" title="Vesicle (dermatology)">blisters</a> in the skin, a <a href="/wiki/Fever" title="Fever">fever</a> and <a href="/wiki/Lymphadenopathy" title="Lymphadenopathy">swollen glands</a>, historically typically following contact with an infected cow, though in the last several decades more often (though overall rarely) from infected cats.<sup id="cite_ref-Kumar2020_3-0" class="reference"><a href="#cite_note-Kumar2020-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup> The hands and face are most frequently affected and the spots are generally very painful.<sup id="cite_ref-Goldman2020_4-0" class="reference"><a href="#cite_note-Goldman2020-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup> </p><p>The virus, part of the genus <i><a href="/wiki/Orthopoxvirus" title="Orthopoxvirus">Orthopoxvirus</a></i>, is closely related to <a href="/wiki/Vaccinia" title="Vaccinia">Vaccinia</a> virus. The virus is <a href="/wiki/Zoonosis" title="Zoonosis">zoonotic</a>, meaning that it is transferable between species, such as from cat to human. The transferral of the disease was first observed in dairy workers who touched the <a href="/wiki/Udder" title="Udder">udders</a> of infected <a href="/wiki/Cow" class="mw-redirect" title="Cow">cows</a> and consequently developed the signature pustules on their hands.<sup id="cite_ref-dermnetnz.org_5-0" class="reference"><a href="#cite_note-dermnetnz.org-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> Cowpox is more commonly found in animals other than bovines, such as rodents. Cowpox is similar to, but much milder than, the highly contagious and often deadly <a href="/wiki/Smallpox" title="Smallpox">smallpox</a> disease.<sup id="cite_ref-dermnetnz.org_5-1" class="reference"><a href="#cite_note-dermnetnz.org-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> Its close resemblance to the mild form of smallpox and the observation that dairy farmers<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> were immune to smallpox inspired the modern <a href="/wiki/Smallpox_vaccine" title="Smallpox vaccine">smallpox vaccine</a>, created and administered by English physician <a href="/wiki/Edward_Jenner" title="Edward Jenner">Edward Jenner</a>.<sup id="cite_ref-sc.edu_7-0" class="reference"><a href="#cite_note-sc.edu-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup> </p><p>The first description of cowpox was given by Jenner in 1798.<sup id="cite_ref-BMJ1967_8-0" class="reference"><a href="#cite_note-BMJ1967-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> "<a href="/wiki/Vaccination" title="Vaccination">Vaccination</a>" is derived from the Latin adjective <i>vaccinus</i>, meaning "of or from the cow".<sup id="cite_ref-Abbas2003_9-0" class="reference"><a href="#cite_note-Abbas2003-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup> Once vaccinated, a patient develops <a href="/wiki/Antibodies" class="mw-redirect" title="Antibodies">antibodies</a> that make them immune to cowpox, but they also develop <a href="/wiki/Immunity_(medical)" class="mw-redirect" title="Immunity (medical)">immunity</a> to the smallpox virus, or <a href="/wiki/Variola_virus" class="mw-redirect" title="Variola virus">Variola virus</a>. The cowpox vaccinations and <a href="/wiki/Smallpox_vaccine" title="Smallpox vaccine">later incarnations</a> proved so successful that in 1980, the <a href="/wiki/World_Health_Organization" title="World Health Organization">World Health Organization</a> announced that smallpox was the first disease to be eradicated by vaccination efforts worldwide.<sup id="cite_ref-Abbas2003_9-1" class="reference"><a href="#cite_note-Abbas2003-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup> Other <a href="/wiki/Orthopox" class="mw-redirect" title="Orthopox">orthopox</a> viruses remain prevalent in certain communities and continue to infect humans, such as the cowpox virus in Europe and <a href="/wiki/Monkeypox_virus" title="Monkeypox virus">monkeypox virus</a> in Central and West Africa.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (October 2021)">citation needed</span></a></i>&#93;</sup> </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Medical_use">Medical use</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cowpox&amp;action=edit&amp;section=1" title="Edit section: Medical use"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Naturally occurring cases of cowpox were not common, but it was discovered that the vaccine could be "carried" in humans and reproduced and disseminated human-to-human. Jenner's original vaccination used lymph from the cowpox pustule on a milkmaid, and subsequent "arm-to-arm" vaccinations applied the same principle. As this transfer of human fluids came with its own set of complications, a safer manner of producing the vaccine was first introduced in Italy. The new method used cows to manufacture the vaccine using a process called "retrovaccination", in which a heifer was inoculated with humanized cowpox virus, and it was passed from calf to calf to produce massive quantities efficiently and safely. This then led to the next incarnation, "true animal vaccine", which used the same process but began with naturally-occurring cowpox virus, and not the humanized form.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (September 2020)">citation needed</span></a></i>&#93;</sup> </p><p>This method of production proved to be lucrative and was taken advantage of by many <a href="/wiki/Entrepreneurs" class="mw-redirect" title="Entrepreneurs">entrepreneurs</a> needing only calves and seed lymph from an infected cow to manufacture crude versions of the vaccine. W. F. Elgin of the National Vaccine Establishment presented his slightly refined technique to the Conference of State and Provincial Boards of Health of North America. A <a href="/wiki/Tuberculosis" title="Tuberculosis">tuberculosis</a>-free calf, stomach shaved, would be bound to an operating table, where incisions would be made on its lower body. Glycerinated lymph from a previously inoculated calf was spread along the cuts. After a few days, the cuts would have scabbed or crusted over. The crust was softened with sterilized water and mixed with glycerin, which disinfected it, then stored hermetically sealed in capillary tubes for later use.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (September 2020)">citation needed</span></a></i>&#93;</sup> </p><p>At some point, the virus in use was no longer cowpox, but vaccinia. Scientists have not determined exactly when the change or mutation occurred, but the effects of vaccinia and cowpox virus as vaccine are nearly the same.<sup id="cite_ref-10" class="reference"><a href="#cite_note-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> </p><p>The virus is found in <a href="/wiki/Europe" title="Europe">Europe</a>, and mainly in the <a href="/wiki/UK" class="mw-redirect" title="UK">UK</a>. Human cases today are very rare and most often <a href="/wiki/Feline_zoonosis" title="Feline zoonosis">contracted from</a> domestic <a href="/wiki/Cat" title="Cat">cats</a>. The virus is not commonly found in <a href="/wiki/Cattle" title="Cattle">cattle</a>; the reservoir hosts for the virus are <a href="/wiki/Woodland" title="Woodland">woodland</a> <a href="/wiki/Rodent" title="Rodent">rodents</a>, particularly <a href="/wiki/Vole" title="Vole">voles</a>. From these rodents, domestic cats contract and transmit the virus to humans.<sup id="cite_ref-Chomel2014_11-0" class="reference"><a href="#cite_note-Chomel2014-11"><span class="cite-bracket">&#91;</span>11<span class="cite-bracket">&#93;</span></a></sup> Symptoms in cats include <a href="/wiki/Lesion" title="Lesion">lesions</a> on the face, neck, forelimbs, and paws, and less commonly upper <a href="/wiki/Respiratory_tract_infection" title="Respiratory tract infection">respiratory tract infections</a>.<sup id="cite_ref-Mansell_2005_12-0" class="reference"><a href="#cite_note-Mansell_2005-12"><span class="cite-bracket">&#91;</span>12<span class="cite-bracket">&#93;</span></a></sup> Symptoms of infection with cowpox virus in humans are localized, <a href="/wiki/Pustular" class="mw-redirect" title="Pustular">pustular</a> lesions generally found on the hands and limited to the site of introduction.<sup id="cite_ref-13" class="reference"><a href="#cite_note-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup> The <a href="/wiki/Incubation_period" title="Incubation period">incubation period</a> is 9 to 10 days.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (October 2021)">citation needed</span></a></i>&#93;</sup> The virus is prevalent in late summer and autumn.<sup id="cite_ref-14" class="reference"><a href="#cite_note-14"><span class="cite-bracket">&#91;</span>14<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Origin">Origin</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cowpox&amp;action=edit&amp;section=2" title="Edit section: Origin"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size mw-halign-right" typeof="mw:File/Thumb"><a href="/wiki/File:Cowpox_Engraving_(detail).png" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/4/49/Cowpox_Engraving_%28detail%29.png/220px-Cowpox_Engraving_%28detail%29.png" decoding="async" width="220" height="128" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/4/49/Cowpox_Engraving_%28detail%29.png/330px-Cowpox_Engraving_%28detail%29.png 1.5x, //upload.wikimedia.org/wikipedia/commons/4/49/Cowpox_Engraving_%28detail%29.png 2x" data-file-width="350" data-file-height="204" /></a><figcaption>Cowpox (variola vaccina) pustules on a cow's udder</figcaption></figure> <div class="mw-heading mw-heading3"><h3 id="Discovery">Discovery</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cowpox&amp;action=edit&amp;section=3" title="Edit section: Discovery"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In the years from 1770 to 1790, at least six people who had contact with a cow had independently tested the possibility of using the cowpox vaccine as an immunization for smallpox in humans. Among them were the English farmer <a href="/wiki/Benjamin_Jesty" title="Benjamin Jesty">Benjamin Jesty</a>, in <a href="/wiki/Dorset" title="Dorset">Dorset</a> in 1774 and the German teacher <a href="/wiki/Peter_Plett" title="Peter Plett">Peter Plett</a> in 1791.<sup id="cite_ref-15" class="reference"><a href="#cite_note-15"><span class="cite-bracket">&#91;</span>15<span class="cite-bracket">&#93;</span></a></sup> Jesty inoculated his wife and two young sons with cowpox, in a successful effort to immunize them to smallpox, an epidemic of which had arisen in their town. His patients who had contracted and recovered from the similar but milder cowpox (mainly milkmaids), seemed to be <a href="/wiki/Immune" class="mw-redirect" title="Immune">immune</a> not only to further cases of cowpox, but also to smallpox. By scratching the fluid from cowpox lesions into the skin of healthy individuals, he was able to immunize those people against smallpox.<sup id="cite_ref-16" class="reference"><a href="#cite_note-16"><span class="cite-bracket">&#91;</span>16<span class="cite-bracket">&#93;</span></a></sup> </p><p>Reportedly, farmers and people working regularly with cattle and horses were often spared during smallpox outbreaks. Investigations by the <a href="/wiki/British_Army" title="British Army">British Army</a> in 1790 showed that <a href="/wiki/Cavalry" title="Cavalry">horse-mounted troops</a> were less infected by smallpox than <a href="/wiki/Infantry" title="Infantry">infantry</a>, due to probable exposure to the similar <a href="/wiki/Horsepox" class="mw-redirect" title="Horsepox">horsepox</a> virus (<i>Variola equina</i>). By the early 19th century, more than 100,000 people in Great Britain had been vaccinated. The arm-to-arm method of transfer of the cowpox vaccine was also used to distribute Jenner's vaccine throughout the Spanish Empire. Spanish king <a href="/wiki/Charles_IV_of_Spain" title="Charles IV of Spain">Charles IV</a>'s daughter had been stricken with smallpox in 1798, and after she recovered, he arranged for the rest of his family to be vaccinated.<sup id="cite_ref-17" class="reference"><a href="#cite_note-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup> </p><p>In 1803, the king, convinced of the benefits of the vaccine, ordered his personal physician Francis Xavier de Balmis, to deliver it to the Spanish dominions in North and South America. To maintain the vaccine in an available state during the voyage, the physician recruited 22 young boys who had never had cowpox or smallpox before, aged three to nine years, from the orphanages of Spain. During the trip across the Atlantic, de Balmis vaccinated the orphans in a living chain. Two children were vaccinated immediately before departure, and when cowpox pustules had appeared on their arms, material from these lesions was used to vaccinate two more children.<sup id="cite_ref-18" class="reference"><a href="#cite_note-18"><span class="cite-bracket">&#91;</span>18<span class="cite-bracket">&#93;</span></a></sup> </p><p>In 1796, English medical practitioner <a href="/wiki/Edward_Jenner" title="Edward Jenner">Edward Jenner</a> tested the theory that cowpox could protect someone from being infected by smallpox. There had long been speculation regarding the origins of Jenner's variolae vaccinae, until DNA sequencing data showed close similarities between horsepox and cowpox viruses. Jenner noted that <a href="/wiki/Farrier" title="Farrier">farriers</a> sometimes milked cows and that material from the equine disease could produce a vesicular disease in cows from which variolae vaccinae was derived. Contemporary accounts provide support for Jenner's speculation that the vaccine probably originated as an equine disease called "grease".<sup id="cite_ref-19" class="reference"><a href="#cite_note-19"><span class="cite-bracket">&#91;</span>19<span class="cite-bracket">&#93;</span></a></sup> Although cowpox originates on the udder of cows, Jenner took his sample from a milkmaid, Sarah Nelmes.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2022)">citation needed</span></a></i>&#93;</sup> </p><p>Jenner extracted the pus of one of the lesions formed by cowpox on Nelmes to <a href="/wiki/James_Phipps" title="James Phipps">James Phipps</a>, an eight-year-old boy who had never had smallpox. He eventually developed a scab and fever that was manageable. Approximately six weeks later, Jenner then introduced an active sample of the smallpox virus into Phipps to test the theory. After being observed for an extended amount of time, it was recorded that Phipps did not receive a reaction from it. Although Jenner was not the first person to conceive the notion of cowpox protecting against the smallpox virus, his experiment proved the theory.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (March 2025)">citation needed</span></a></i>&#93;</sup> </p><p>In later years, Jenner popularized the experiment, calling it a vaccination from the Latin for cow, <i>vacca</i>. The number of vaccinations among people of that era increased drastically. It was widely considered to be a relatively safer procedure compared to the <a href="/wiki/Variolation" title="Variolation">mainstream inoculation</a>. Although Jenner was propelled into the spotlight from the vaccination popularity, he mainly focused on science behind why the cowpox allowed persons to not be infected by smallpox. The honour of the discovery of the vaccination is often attributed to <a href="/wiki/Benjamin_Jesty" title="Benjamin Jesty">Benjamin Jesty</a>, but he was no scientist and did not repeat or publish his findings. He is considered to be the first to use cowpox as a vaccination, though the term vaccination was not invented yet.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (January 2023)">citation needed</span></a></i>&#93;</sup> </p><p>During the midst of the smallpox outbreak, Jesty transferred pieces of cow udder which he knew had been infected with cowpox into the skin of his family members in the hopes of protecting them. Jesty did not publicize his findings, and Jenner, who performed his first inoculation 22 years later and publicized his findings, assumed credit. It is said that Jenner made this discovery by himself, possibly without knowing previous accounts 20 years earlier. Although Jesty may have been the first to discover it, Jenner made vaccination widely accessible and has therefore been credited for its invention.<sup id="cite_ref-20" class="reference"><a href="#cite_note-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Life_cycle">Life cycle</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cowpox&amp;action=edit&amp;section=4" title="Edit section: Life cycle"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The genome for the CPXV is over 220kbp. This makes it the largest genome in the Orthopoxviral species. It can be divided into three different regions. There are two end regions called R1 and R2 and a main central region that is roughly half of the size of the genome. There are also inverted terminal repeats that are located at the terminal sites of the genome and measure around 10kbp. These inverted terminal repeats can then be divided into two more distinct regions. The first section is around 7.5kbp long and includes a coding region. The other section includes a terminal region that can be repeated up to as many times as thirty and is composed of 50 nucleotides.<sup id="cite_ref-21" class="reference"><a href="#cite_note-21"><span class="cite-bracket">&#91;</span>21<span class="cite-bracket">&#93;</span></a></sup> The CPXV genome encodes only 30-40% of products of which are involved in the pathogenesis of the virus.<sup id="cite_ref-22" class="reference"><a href="#cite_note-22"><span class="cite-bracket">&#91;</span>22<span class="cite-bracket">&#93;</span></a></sup> The CPXV genome has the most complete set of genes out of all of the orthopoxviruses. This unique feature of CPXV makes it ideal to be able to mutate into different strains of the virus.<sup id="cite_ref-23" class="reference"><a href="#cite_note-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup> It is a double stranded DNA virus. The virus does have an envelope that surrounds the virion.<sup id="cite_ref-24" class="reference"><a href="#cite_note-24"><span class="cite-bracket">&#91;</span>24<span class="cite-bracket">&#93;</span></a></sup> The cowpox's genome allows the virus to encode its own transcription machinery along with its own DNA replication machinery. The replication then takes place in the cytoplasm after the virus is in the cell and the virion is uncoated. The virion is then assembled and released from the host cell.<sup id="cite_ref-25" class="reference"><a href="#cite_note-25"><span class="cite-bracket">&#91;</span>25<span class="cite-bracket">&#93;</span></a></sup> </p><p>The genome is arranged so that both of the ends contain the genes responsible for evading the defenses from the immune system of the host which is only activated in the extracellular portion. These receptors are able to be stopped by cytokine and chemokine secretion by blocking the cytokine and chemokine found extracellularly. This is the process responsible for attachment and entry of the virion into the host cell.<sup id="cite_ref-26" class="reference"><a href="#cite_note-26"><span class="cite-bracket">&#91;</span>26<span class="cite-bracket">&#93;</span></a></sup> Because of the large size of the genome, it makes the virus more likely and capable to fight back against the immunes system defenses. Out of all of the poxviruses, CPXV has the most cytokine responses that fight back against the immune system. It encodes cytokine receptors such as TNF, CrmB, CrmC, CrmD, and CrmE proteins. Another set of receptors that CPXV have are lymphotoxins such as IL-1ß, IFN-y, IFN 1, β-chemokines, and IL-18. However, not all of the receptors of CPXV are still not known. CPXV also encodes four tumor necrosis factors (TNF) and lymphotoxin which are the biggest group of homologous receptors for the virus. These receptors play a crucial role that are involved with the immune system.<sup id="cite_ref-27" class="reference"><a href="#cite_note-27"><span class="cite-bracket">&#91;</span>27<span class="cite-bracket">&#93;</span></a></sup> </p><p>CPXV has two different types of inclusion bodies. All of the poxviruses have basophilic inclusions also called B-type inclusion bodies. The B-type inclusion bodies contain the factory where the virus produces necessary elements for the replication and maturation of the virion. CPXV has another inclusion body that is unique to only some chordopoxviruses called acidophilic inclusion bodies also called A-type inclusion bodies (ATIs). The ATIs are encoded by the cpxv158 gene and is then made the protein ATIP which is a late protein. However, the importance of these ATIs in the life cycle are still not well known or understood and research is still being done to better understand them. It is known that replication can still continue without the cpxv158 gene, and that the replication cycle shows no difference between a fully encoded virion versus the virion that had deleted cwpx158 gene. However, with studies done on mice, the lesions that were caused by the CPXV-BR△ati were able to heal faster due to less tissue that was lost than the CPXV-BR lesions that took longer to heal and lost more tissue. This suggests that this gene helps supports the idea that ATIs are partly involved in how the host responds to the virus infection.<sup id="cite_ref-28" class="reference"><a href="#cite_note-28"><span class="cite-bracket">&#91;</span>28<span class="cite-bracket">&#93;</span></a></sup> </p><p>Another way that the virus is able to control and infect the host is by regulating cellular signaling pathways. During the infection, CPXV is known to use MEK/ERK/1/2/Egr-1, JNK1/2, and PI3K/Akt pathways. Some of these pathways are not unique only to CPXV, but how they function in response to the host is unique to this virus.<sup id="cite_ref-29" class="reference"><a href="#cite_note-29"><span class="cite-bracket">&#91;</span>29<span class="cite-bracket">&#93;</span></a></sup> </p><p>One notable protein in the CPXV is the p28 protein. It is made up of 242 amino acids and contains two domains, and N terminal KilA-N and a C-terminal RING domain. One of those domains, the N-terminal <a href="/wiki/KilA-N_domain" title="KilA-N domain">KilA-N domain</a>, allows for DNA to bind to it. The KilA-N domain facilitates this p28 protein that is translated early in the replication cycle in the cytoplasm and is then located in the cytoplasm for the rest of the life cycle of the virus. There is current research still being done to determine if the p28 protein could be a requital for an essential macrophage factor that is needed for the DNA replication.<sup id="cite_ref-30" class="reference"><a href="#cite_note-30"><span class="cite-bracket">&#91;</span>30<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Opposition_to_vaccination">Opposition to vaccination</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cowpox&amp;action=edit&amp;section=5" title="Edit section: Opposition to vaccination"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The majority of the population at the time accepted the up-and-coming vaccination. However, there was still opposition from individuals who were reluctant to change from the inoculations. In addition, there became a growing concern from parties who were worried about the unknown repercussions of infecting a human with an animal disease. One way individuals expressed their discontent was to draw comics that sometimes depicted small cows growing from the sites of vaccination. Others publicly advocated for the continuance of the inoculations; however, this was not because of their discontent for the vaccinations. Some of their reluctance had to do with an apprehensiveness for change. They had become so familiar with the process, outcome, positives, and negatives of inoculations that they did not want to be surprised by the outcome or effects of the vaccinations. Jenner soon eased their minds after extensive trials. However, others advocated against vaccinations for different reason. Because of the high price of inoculation, Jenner experienced very few common folk who were not willing to accept the vaccination. Due to this, Jenner found many subjects for his tests. He was able to publish his results in a pamphlet in 1798: <i>An Inquiry into the Causes and Effects of Variolae Vaccinae, a Disease, Discovered in some of the Western Counties of England particularly Gloucestershire, and known by the Name of Cow Pox.</i><sup id="cite_ref-31" class="reference"><a href="#cite_note-31"><span class="cite-bracket">&#91;</span>31<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-32" class="reference"><a href="#cite_note-32"><span class="cite-bracket">&#91;</span>32<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Historical_use">Historical use</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cowpox&amp;action=edit&amp;section=6" title="Edit section: Historical use"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:The_cow_pock.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/d/d6/The_cow_pock.jpg/330px-The_cow_pock.jpg" decoding="async" width="290" height="207" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/d/d6/The_cow_pock.jpg/500px-The_cow_pock.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/d/d6/The_cow_pock.jpg/960px-The_cow_pock.jpg 2x" data-file-width="1279" data-file-height="915" /></a><figcaption>In <i>The Cow-Pock—or—the Wonderful Effects of the New Inoculation!</i> (1802), <a href="/wiki/James_Gillray" title="James Gillray">James Gillray</a> caricatured recipients of the vaccine developing cow-like appendages.</figcaption></figure> <p>After inoculation, vaccination using the cowpox virus became the primary defense against smallpox. After infection by the cowpox virus, the body (usually) gains the ability to recognize the similar smallpox virus from its <a href="/wiki/Antigens" class="mw-redirect" title="Antigens">antigens</a> and is able to fight the smallpox disease much more efficiently.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (May 2021)">citation needed</span></a></i>&#93;</sup> </p><p>The cowpox virus contains 222 thousand base pairs of DNA, which contains the information for about 203-204 genes. This makes cowpox one of the most complicated viruses known. A significant number of these genes give instructions for key parts of the human immune system, giving a clue as to why the closely related smallpox is so lethal.<sup id="cite_ref-33" class="reference"><a href="#cite_note-33"><span class="cite-bracket">&#91;</span>33<span class="cite-bracket">&#93;</span></a></sup> The vaccinia virus now used for smallpox vaccination is sufficiently different from the cowpox virus found in the wild as to be considered a separate virus.<sup id="cite_ref-34" class="reference"><a href="#cite_note-34"><span class="cite-bracket">&#91;</span>34<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="British_Parliament">British Parliament</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cowpox&amp;action=edit&amp;section=7" title="Edit section: British Parliament"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>While the vaccination's popularity increased exponentially, so did its monetary value. This was realized by the British Parliament, which compensated Jenner 10,000 pounds for the vaccination. In addition, they later compensated Jenner an additional 20,000 pounds. In the coming years, Jenner continued advocacy for his vaccination over the still popular inoculation. Eventually, in 1840, the inoculation became banned in England and was replaced with the cowpox vaccination as the main medical solution to combat smallpox. The cowpox vaccination saved the British Army thousands of soldiers, by making them immune to the effects of smallpox in upcoming wars. The cowpox also saved the United Kingdom thousands of pounds.<sup id="cite_ref-35" class="reference"><a href="#cite_note-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Kinepox">Kinepox</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cowpox&amp;action=edit&amp;section=8" title="Edit section: Kinepox"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Kinepox is an alternative term for the <a href="/wiki/Smallpox_vaccine" title="Smallpox vaccine">smallpox vaccine</a> used in early 19th-century America. Popularized by Jenner in the late 1790s, kinepox was a far safer method for inoculating people against smallpox than the previous method, <a href="/wiki/Variolation" title="Variolation">variolation</a>, which had a 3% fatality rate.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (October 2021)">citation needed</span></a></i>&#93;</sup> </p><p>In a famous letter to <a href="/wiki/Meriwether_Lewis" title="Meriwether Lewis">Meriwether Lewis</a> in 1803, <a href="/wiki/Thomas_Jefferson" title="Thomas Jefferson">Thomas Jefferson</a> instructed the <a href="/wiki/Lewis_and_Clark_Expedition" title="Lewis and Clark Expedition">Lewis and Clark Expedition</a> to "carry with you some matter of the kine-pox; inform those of them with whom you may be, of its efficacy as a preservative from the smallpox; &amp; encourage them in the use of it..."<sup id="cite_ref-36" class="reference"><a href="#cite_note-36"><span class="cite-bracket">&#91;</span>36<span class="cite-bracket">&#93;</span></a></sup> Jefferson had developed an interest in protecting <a href="/wiki/Indigenous_peoples_of_the_Americas" title="Indigenous peoples of the Americas">American Indians</a> from smallpox, having been aware of <a href="/wiki/Epidemic" title="Epidemic">epidemics</a> along the <a href="/wiki/Missouri_River" title="Missouri River">Missouri River</a> during the previous century. A year before his special instructions to Lewis, Jefferson had persuaded a visiting <a href="/wiki/Delegation" title="Delegation">delegation</a> of North American Indian chieftains to be vaccinated with kinepox during the winter of 1801–1802. Unfortunately, Lewis never got the opportunity to use kinepox during the pair's expedition, as it had become inadvertently inactive—a common occurrence in a time before vaccines were <a href="/wiki/Stabilizer_(chemistry)" title="Stabilizer (chemistry)">stabilized</a> with <a href="/wiki/Preservatives" class="mw-redirect" title="Preservatives">preservatives</a> such as <a href="/wiki/Glycerol" title="Glycerol">glycerol</a> or kept at refrigeration temperatures.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2022)">citation needed</span></a></i>&#93;</sup> </p> <div class="mw-heading mw-heading2"><h2 id="Prevention">Prevention</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cowpox&amp;action=edit&amp;section=9" title="Edit section: Prevention"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1251242444">.mw-parser-output .ambox{border:1px solid #a2a9b1;border-left:10px solid #36c;background-color:#fbfbfb;box-sizing:border-box}.mw-parser-output .ambox+link+.ambox,.mw-parser-output .ambox+link+style+.ambox,.mw-parser-output .ambox+link+link+.ambox,.mw-parser-output .ambox+.mw-empty-elt+link+.ambox,.mw-parser-output .ambox+.mw-empty-elt+link+style+.ambox,.mw-parser-output .ambox+.mw-empty-elt+link+link+.ambox{margin-top:-1px}html body.mediawiki .mw-parser-output .ambox.mbox-small-left{margin:4px 1em 4px 0;overflow:hidden;width:238px;border-collapse:collapse;font-size:88%;line-height:1.25em}.mw-parser-output .ambox-speedy{border-left:10px solid #b32424;background-color:#fee7e6}.mw-parser-output .ambox-delete{border-left:10px solid #b32424}.mw-parser-output .ambox-content{border-left:10px solid #f28500}.mw-parser-output .ambox-style{border-left:10px solid #fc3}.mw-parser-output .ambox-move{border-left:10px solid #9932cc}.mw-parser-output .ambox-protection{border-left:10px solid #a2a9b1}.mw-parser-output .ambox .mbox-text{border:none;padding:0.25em 0.5em;width:100%}.mw-parser-output .ambox .mbox-image{border:none;padding:2px 0 2px 0.5em;text-align:center}.mw-parser-output .ambox .mbox-imageright{border:none;padding:2px 0.5em 2px 0;text-align:center}.mw-parser-output .ambox .mbox-empty-cell{border:none;padding:0;width:1px}.mw-parser-output .ambox .mbox-image-div{width:52px}@media(min-width:720px){.mw-parser-output .ambox{margin:0 10%}}@media print{body.ns-0 .mw-parser-output .ambox{display:none!important}}</style><table class="box-More_citations_needed_section plainlinks metadata ambox ambox-content ambox-Refimprove" role="presentation"><tbody><tr><td class="mbox-image"><div class="mbox-image-div"><span typeof="mw:File"><a href="/wiki/File:Question_book-new.svg" class="mw-file-description"><img alt="" src="//upload.wikimedia.org/wikipedia/en/thumb/9/99/Question_book-new.svg/60px-Question_book-new.svg.png" decoding="async" width="50" height="39" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/9/99/Question_book-new.svg/120px-Question_book-new.svg.png 1.5x" data-file-width="512" data-file-height="399" /></a></span></div></td><td class="mbox-text"><div class="mbox-text-span">This section <b>needs additional citations for <a href="/wiki/Wikipedia:Verifiability" title="Wikipedia:Verifiability">verification</a></b>.<span class="hide-when-compact"> Please help <a href="/wiki/Special:EditPage/Cowpox" title="Special:EditPage/Cowpox">improve this article</a> by <a href="/wiki/Help:Referencing_for_beginners" title="Help:Referencing for beginners">adding citations to reliable sources</a>&#32;in this section. Unsourced material may be challenged and removed.</span> <span class="date-container"><i>(<span class="date">April 2021</span>)</i></span><span class="hide-when-compact"><i> (<small><a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove this message</a></small>)</i></span></div></td></tr></tbody></table> <p>Today, the virus is found in Europe, mainly in the UK. Human cases are very rare (though in 2010 a laboratory worker contracted cowpox<sup id="cite_ref-37" class="reference"><a href="#cite_note-37"><span class="cite-bracket">&#91;</span>37<span class="cite-bracket">&#93;</span></a></sup>) and most often <a href="/wiki/Feline_zoonosis" title="Feline zoonosis">contracted from domestic cats</a>. Human infections usually remain localized and self-limiting, but can become fatal in <a href="/wiki/Immunosuppressed" class="mw-redirect" title="Immunosuppressed">immunosuppressed</a> patients. The virus is not commonly found in cattle; the reservoir hosts for the virus are woodland rodents, particularly voles.<sup id="cite_ref-38" class="reference"><a href="#cite_note-38"><span class="cite-bracket">&#91;</span>38<span class="cite-bracket">&#93;</span></a></sup> Domestic cats contract the virus from these rodents. Symptoms in cats include lesions on the face, neck, forelimbs, and paws, and, less commonly, upper respiratory tract infections. Symptoms of infection with cowpox virus in humans are localized, pustular lesions generally found on the hands and limited to the site of introduction. The incubation period is nine to ten days. The virus is most prevalent in late summer and autumn. </p><p>Immunity to cowpox is gained when the smallpox vaccine is administered. Although the vaccine now uses vaccinia virus, the poxviruses are similar enough that the body becomes immune to both cow- and smallpox. </p> <div class="mw-heading mw-heading2"><h2 id="Citations">Citations</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cowpox&amp;action=edit&amp;section=10" title="Edit section: Citations"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-1">^</a></b></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite id="CITEREFPelkonenTarvainenHynninenKallio2003" class="citation journal cs1">Pelkonen PM, Tarvainen K, Hynninen A, Kallio ER, Henttonen K, Palva A, et&#160;al. (November 2003). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3035531">"Cowpox with severe generalized eruption, Finland"</a>. <i>Emerging Infectious Diseases</i>. <b>9</b> (11): <span class="nowrap">1458–</span>1461. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.3201%2Feid0911.020814">10.3201/eid0911.020814</a>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3035531">3035531</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/14718092">14718092</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Emerging+Infectious+Diseases&amp;rft.atitle=Cowpox+with+severe+generalized+eruption%2C+Finland&amp;rft.volume=9&amp;rft.issue=11&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E1458-%3C%2Fspan%3E1461&amp;rft.date=2003-11&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3035531%23id-name%3DPMC&amp;rft_id=info%3Apmid%2F14718092&amp;rft_id=info%3Adoi%2F10.3201%2Feid0911.020814&amp;rft.aulast=Pelkonen&amp;rft.aufirst=PM&amp;rft.au=Tarvainen%2C+K&amp;rft.au=Hynninen%2C+A&amp;rft.au=Kallio%2C+ER&amp;rft.au=Henttonen%2C+K&amp;rft.au=Palva%2C+A&amp;rft.au=Vaheri%2C+A&amp;rft.au=Vapalahti%2C+O&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3035531&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACowpox" class="Z3988"></span></span> </li> <li id="cite_note-Carroll_et_al.,_PloS_one_2011-2"><span class="mw-cite-backlink"><b><a href="#cite_ref-Carroll_et_al.,_PloS_one_2011_2-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFCarrollEmersonLiSammons2011" class="citation journal cs1">Carroll DS, Emerson GL, Li Y, Sammons S, Olson V, Frace M, et&#160;al. 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Retrieved <span class="nowrap">2007-08-10</span></span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=unknown&amp;rft.btitle=Jefferson%27s+Instructions+to+Lewis+and+Clark+%281803%29&amp;rft_id=http%3A%2F%2Fwww.library.csi.cuny.edu%2Fdept%2Fhistory%2Flavender%2Fjefflett.html&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACowpox" class="Z3988"></span></span> </li> <li id="cite_note-37"><span class="mw-cite-backlink"><b><a href="#cite_ref-37">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFMcCollumAustinNawrockiHowland2012" class="citation journal cs1">McCollum, Andrea M.; Austin, Connie; Nawrocki, John; Howland, Julia; Pryde, Julie; Vaid, Awais; Holmes, David; Weil, M. Ryan; Li, Yu; Wilkins, Kimberly; Zhao, Hui; Smith, Scott K.; Karem, Kevin; Reynolds, Mary G.; Damon, Inger K. (July 2012). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905985">"Investigation of the First Laboratory-Acquired Human Cowpox Virus Infection in the United States"</a>. <i>The Journal of Infectious Diseases</i>. <b>206</b> (1): <span class="nowrap">63–</span>68. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Finfdis%2Fjis302">10.1093/infdis/jis302</a>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905985">11905985</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/22539811">22539811</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=The+Journal+of+Infectious+Diseases&amp;rft.atitle=Investigation+of+the+First+Laboratory-Acquired+Human+Cowpox+Virus+Infection+in+the+United+States&amp;rft.volume=206&amp;rft.issue=1&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E63-%3C%2Fspan%3E68&amp;rft.date=2012-07&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC11905985%23id-name%3DPMC&amp;rft_id=info%3Apmid%2F22539811&amp;rft_id=info%3Adoi%2F10.1093%2Finfdis%2Fjis302&amp;rft.aulast=McCollum&amp;rft.aufirst=Andrea+M.&amp;rft.au=Austin%2C+Connie&amp;rft.au=Nawrocki%2C+John&amp;rft.au=Howland%2C+Julia&amp;rft.au=Pryde%2C+Julie&amp;rft.au=Vaid%2C+Awais&amp;rft.au=Holmes%2C+David&amp;rft.au=Weil%2C+M.+Ryan&amp;rft.au=Li%2C+Yu&amp;rft.au=Wilkins%2C+Kimberly&amp;rft.au=Zhao%2C+Hui&amp;rft.au=Smith%2C+Scott+K.&amp;rft.au=Karem%2C+Kevin&amp;rft.au=Reynolds%2C+Mary+G.&amp;rft.au=Damon%2C+Inger+K.&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC11905985&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACowpox" class="Z3988"></span> Lay summary in: <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite class="citation pressrelease cs1">Roos, Robert (27 April 2012). <a rel="nofollow" class="external text" href="https://www.cidrap.umn.edu/smallpox/cowpox-infection-us-lab-worker-called-first">"Cowpox infection in US lab worker called a first"</a>. <i>Center for Infectious Disease Research &amp; Policy</i> (Press release).</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=unknown&amp;rft.btitle=Cowpox+infection+in+US+lab+worker+called+a+first&amp;rft.date=2012-04-27&amp;rft.aulast=Roos&amp;rft.aufirst=Robert&amp;rft_id=https%3A%2F%2Fwww.cidrap.umn.edu%2Fsmallpox%2Fcowpox-infection-us-lab-worker-called-first&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACowpox" class="Z3988"></span></span> </li> <li id="cite_note-38"><span class="mw-cite-backlink"><b><a href="#cite_ref-38">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFKurthWibbeltGerberPetschaelis2008" class="citation journal cs1">Kurth A, Wibbelt G, Gerber HP, Petschaelis A, Pauli G, Nitsche A (April 2008). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2570944">"Rat-to-elephant-to-human transmission of cowpox virus"</a>. <i>Emerging Infectious Diseases</i>. <b>14</b> (4): <span class="nowrap">670–</span>671. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.3201%2Feid1404.070817">10.3201/eid1404.070817</a>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2570944">2570944</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/18394293">18394293</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Emerging+Infectious+Diseases&amp;rft.atitle=Rat-to-elephant-to-human+transmission+of+cowpox+virus&amp;rft.volume=14&amp;rft.issue=4&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E670-%3C%2Fspan%3E671&amp;rft.date=2008-04&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC2570944%23id-name%3DPMC&amp;rft_id=info%3Apmid%2F18394293&amp;rft_id=info%3Adoi%2F10.3201%2Feid1404.070817&amp;rft.aulast=Kurth&amp;rft.aufirst=A&amp;rft.au=Wibbelt%2C+G&amp;rft.au=Gerber%2C+HP&amp;rft.au=Petschaelis%2C+A&amp;rft.au=Pauli%2C+G&amp;rft.au=Nitsche%2C+A&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC2570944&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACowpox" class="Z3988"></span></span> </li> </ol></div></div> <div class="mw-heading mw-heading2"><h2 id="General_sources">General sources</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Cowpox&amp;action=edit&amp;section=11" title="Edit section: General sources"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFPeck2002" class="citation book cs1">Peck DR (2002). <i>Or Perish in the Attempt: Wilderness Medicine in the Lewis &amp; Clark Expedition</i>. Farcountry Press. <a href="/wiki/ISBN_(identifier)" class="mw-redirect" title="ISBN (identifier)">ISBN</a>&#160;<a href="/wiki/Special:BookSources/978-1-56037-226-4" title="Special:BookSources/978-1-56037-226-4"><bdi>978-1-56037-226-4</bdi></a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=book&amp;rft.btitle=Or+Perish+in+the+Attempt%3A+Wilderness+Medicine+in+the+Lewis+%26+Clark+Expedition&amp;rft.pub=Farcountry+Press&amp;rft.date=2002&amp;rft.isbn=978-1-56037-226-4&amp;rft.aulast=Peck&amp;rft.aufirst=DR&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ACowpox" class="Z3988"></span></li></ul> <div class="navbox-styles"><style data-mw-deduplicate="TemplateStyles:r1236075235">.mw-parser-output .navbox{box-sizing:border-box;border:1px solid #a2a9b1;width:100%;clear:both;font-size:88%;text-align:center;padding:1px;margin:1em auto 0}.mw-parser-output .navbox .navbox{margin-top:0}.mw-parser-output .navbox+.navbox,.mw-parser-output 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href="https://icd10cmtool.cdc.gov/?fy=FY2024&amp;query=B08.010">B08.010</a></li><li><b><a href="/wiki/International_Statistical_Classification_of_Diseases_and_Related_Health_Problems" class="mw-redirect" title="International Statistical Classification of Diseases and Related Health Problems">ICD</a>-<a href="/wiki/List_of_ICD-9_codes" title="List of ICD-9 codes">9-CM</a></b>: <a rel="nofollow" class="external text" href="http://www.icd9data.com/getICD9Code.ashx?icd9=051.01">051.01</a></li><li><b><a href="/wiki/Medical_Subject_Headings" title="Medical Subject Headings">MeSH</a></b>: <a rel="nofollow" class="external text" href="https://meshb.nlm.nih.gov/record/ui?ui=D015605">D015605</a></li><li><b><a href="/wiki/SNOMED_CT" title="SNOMED CT">SNOMED CT</a></b>: <a rel="nofollow" class="external text" href="http://snomed.info/id/70090004">70090004</a></li></ul></div></div></td></tr></tbody></table></div> <div class="navbox-styles"><link rel="mw-deduplicated-inline-style" 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navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="/wiki/Herpesviridae" title="Herpesviridae">Herpesviridae</a></i></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="/wiki/Alphaherpesvirinae" title="Alphaherpesvirinae">Alpha.</a></i></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><span class="nobold"><a href="/wiki/Herpes_simplex_virus" title="Herpes simplex virus">HSV</a></span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Herpes" title="Herpes">Herpes simplex</a></li> <li><a href="/wiki/Herpetic_whitlow" title="Herpetic whitlow">Herpetic whitlow</a></li> <li><a href="/wiki/Herpes_gladiatorum" title="Herpes gladiatorum">Herpes gladiatorum</a></li> <li><a href="/wiki/Herpes_simplex_keratitis" title="Herpes simplex keratitis">Herpes simplex keratitis</a></li> <li><a href="/wiki/Herpes" title="Herpes">Herpetic sycosis</a></li> <li><a href="/wiki/Neonatal_herpes_simplex" class="mw-redirect" title="Neonatal herpes simplex">Neonatal herpes simplex</a></li> <li><a href="/wiki/Genital_herpes" title="Genital herpes">Genital herpes</a></li> <li><a href="/wiki/Cold_sore" title="Cold sore">Cold sore</a></li> <li><a href="/wiki/Eczema_herpeticum" title="Eczema herpeticum">Eczema herpeticum</a></li> <li><a href="/wiki/Herpes_esophagitis" title="Herpes esophagitis">Herpetiform esophagitis</a></li> <li><a href="/wiki/Herpetic_gingivostomatitis" title="Herpetic gingivostomatitis">Herpetic gingivostomatitis</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><span class="nobold"><i><a href="/wiki/B_virus" title="B virus">B virus</a></i></span></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/B_virus" title="B virus">B virus infection</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><span class="nobold"><a href="/wiki/Varicella_zoster_virus" title="Varicella zoster virus">VZV</a></span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Chickenpox" title="Chickenpox">Chickenpox</a></li> <li><a href="/wiki/Shingles" title="Shingles">Herpes zoster</a></li> <li><a href="/wiki/Ramsay_Hunt_syndrome_type_2" title="Ramsay Hunt syndrome type 2">Herpes zoster oticus</a></li> <li><a href="/wiki/Herpes_zoster_ophthalmicus" title="Herpes zoster ophthalmicus">Ophthalmic zoster</a></li> <li><a href="/wiki/Disseminated_herpes_zoster" class="mw-redirect" title="Disseminated herpes zoster">Disseminated herpes zoster</a></li> <li><a href="/wiki/Postherpetic_neuralgia" title="Postherpetic neuralgia">Zoster-associated pain</a></li> <li><a href="/wiki/Modified_varicella-like_syndrome" class="mw-redirect" title="Modified varicella-like syndrome">Modified varicella-like syndrome</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="/wiki/Betaherpesvirinae" title="Betaherpesvirinae">Beta.</a></i></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><i><a href="/wiki/Human_herpesvirus_6" title="Human herpesvirus 6">Human herpesvirus 6</a></i>/<i><a href="/wiki/Roseolovirus" title="Roseolovirus">Roseolovirus</a></i> <ul><li><a href="/wiki/Roseola" title="Roseola">Exanthema subitum</a></li> <li><a href="/wiki/Roseola_vaccinia" title="Roseola vaccinia">Roseola vaccinia</a></li></ul></li> <li><a href="/wiki/Cytomegalovirus" title="Cytomegalovirus">Cytomegalic inclusion disease</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="/wiki/Gammaherpesvirinae" title="Gammaherpesvirinae">Gamma.</a></i></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Kaposi%27s_sarcoma-associated_herpesvirus" title="Kaposi&#39;s sarcoma-associated herpesvirus">Kaposi's sarcoma-associated herpesvirus</a> <ul><li><a href="/wiki/Kaposi%27s_sarcoma" title="Kaposi&#39;s sarcoma">Kaposi's sarcoma</a></li></ul></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="/wiki/Poxviridae" title="Poxviridae">Poxviridae</a></i></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="/wiki/Orthopoxvirus" title="Orthopoxvirus">Ortho.</a></i></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Smallpox" title="Smallpox">Variola</a> <ul><li><a href="/wiki/Smallpox" title="Smallpox">Smallpox</a></li> <li><a href="/wiki/Alastrim" class="mw-redirect" title="Alastrim">Alastrim</a></li></ul></li> <li><a href="/wiki/Monkeypox_virus" title="Monkeypox virus">Monkeypox virus</a> <ul><li><a href="/wiki/Mpox" title="Mpox">Monkeypox</a></li></ul></li> <li><a class="mw-selflink selflink">Cowpox</a></li> <li><a href="/wiki/Vaccinia_virus" class="mw-redirect" title="Vaccinia virus">Vaccinia virus</a> <ul><li><a href="/wiki/Vaccinia" title="Vaccinia">Vaccinia</a></li> <li><a href="/wiki/Generalized_vaccinia" title="Generalized vaccinia">Generalized vaccinia</a></li> <li><a href="/wiki/Eczema_vaccinatum" title="Eczema vaccinatum">Eczema vaccinatum</a></li> <li><a href="/wiki/Progressive_vaccinia" title="Progressive vaccinia">Progressive vaccinia</a></li></ul></li> <li><a href="/wiki/Buffalopox" title="Buffalopox">Buffalopox</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="/wiki/Parapoxvirus" title="Parapoxvirus">Para.</a></i></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Farmyard_pox" title="Farmyard pox">Farmyard pox</a>: <a href="/wiki/Milker%27s_nodule" title="Milker&#39;s nodule">Milker's nodule</a></li> <li><a href="/wiki/Bovine_papular_stomatitis" title="Bovine papular stomatitis">Bovine papular stomatitis</a></li> <li><a href="/wiki/Paravaccinia_virus" title="Paravaccinia virus">Pseudocowpox</a></li> <li><a href="/wiki/Orf_(disease)" title="Orf (disease)">Orf</a></li> <li><a href="/wiki/Sealpox" title="Sealpox">Sealpox</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Yatapoxvirus" title="Yatapoxvirus">Yatapoxvirus</a>: <a href="/wiki/Tanapox" title="Tanapox">Tanapox</a></li> <li><a href="/wiki/Yaba_monkey_tumor_virus" title="Yaba monkey tumor virus">Yaba monkey tumor virus</a></li> <li><a href="/wiki/Molluscum_contagiosum_virus" title="Molluscum contagiosum virus">Molluscum contagiosum virus</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="/wiki/Papillomaviridae" title="Papillomaviridae">Papillomaviridae</a></i></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th id="HPV94" scope="row" class="navbox-group" style="width:1%"><span class="nobold"><a href="/wiki/Papillomaviridae" title="Papillomaviridae">HPV</a></span></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Wart" title="Wart">Wart</a>/<a href="/wiki/Plantar_wart" title="Plantar wart">plantar wart</a></li> <li><a href="/wiki/Heck%27s_disease" title="Heck&#39;s disease">Heck's disease</a></li> <li><a href="/wiki/Genital_wart" title="Genital wart">Genital wart</a> <ul><li><a href="/wiki/Giant_condyloma_acuminatum" title="Giant condyloma acuminatum">giant</a></li></ul></li> <li><a href="/wiki/Laryngeal_papillomatosis" title="Laryngeal papillomatosis">Laryngeal papillomatosis</a></li> <li><a href="/wiki/Butcher%27s_wart" title="Butcher&#39;s wart">Butcher's wart</a></li> <li><a href="/wiki/Bowenoid_papulosis" title="Bowenoid papulosis">Bowenoid papulosis</a></li> <li><a href="/wiki/Epidermodysplasia_verruciformis" title="Epidermodysplasia verruciformis">Epidermodysplasia verruciformis</a></li> <li><a href="/wiki/Flat_wart" title="Flat wart">Verruca plana</a></li> <li><a href="/wiki/Pigmented_wart" title="Pigmented wart">Pigmented wart</a></li> <li><a href="/wiki/Verrucae_palmares_et_plantares" title="Verrucae palmares et plantares">Verrucae palmares et plantares</a></li></ul> </div></td></tr><tr><td colspan="2" class="navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Bovine_papillomavirus" title="Bovine papillomavirus">Bovine papillomavirus</a> <ul><li><a href="/wiki/Equine_sarcoid" class="mw-redirect" title="Equine sarcoid">Equine sarcoid</a></li></ul></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="/wiki/Parvoviridae" title="Parvoviridae">Parvoviridae</a></i></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><i><a href="/wiki/Parvovirus_B19" title="Parvovirus B19">Parvovirus B19</a></i> <ul><li><a href="/wiki/Fifth_disease" title="Fifth disease">Erythema infectiosum</a></li> <li><a href="/wiki/Reticulocytopenia" title="Reticulocytopenia">Reticulocytopenia</a></li> <li><a href="/wiki/Papular_purpuric_gloves_and_socks_syndrome" class="mw-redirect" title="Papular purpuric gloves and socks syndrome">Papular purpuric gloves and socks syndrome</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="/wiki/Polyomaviridae" title="Polyomaviridae">Polyomaviridae</a></i></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><i><a href="/wiki/Merkel_cell_polyomavirus" title="Merkel cell polyomavirus">Merkel cell polyomavirus</a></i> <ul><li><a href="/wiki/Merkel-cell_carcinoma" title="Merkel-cell carcinoma">Merkel cell carcinoma</a></li></ul></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/RNA_virus" title="RNA virus">RNA virus</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="/wiki/Paramyxoviridae" title="Paramyxoviridae">Paramyxoviridae</a></i></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Measles_morbillivirus" class="mw-redirect" title="Measles morbillivirus">MeV</a> <ul><li><a href="/wiki/Measles" title="Measles">Measles</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="/wiki/Rubivirus" title="Rubivirus">Matonaviridae</a></i></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><i><a href="/wiki/Rubella_virus" title="Rubella virus">Rubella virus</a></i> <ul><li><a href="/wiki/Rubella" title="Rubella">Rubella</a></li> <li><a href="/wiki/Congenital_rubella_syndrome" title="Congenital rubella syndrome">Congenital rubella syndrome</a> ("German measles")</li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="/wiki/Alphavirus" title="Alphavirus">Togaviridae</a></i></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Alphavirus_infection" title="Alphavirus infection">Alphavirus infection</a></li> <li><a href="/wiki/Chikungunya" title="Chikungunya">Chikungunya fever</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="/wiki/Picornavirus" title="Picornavirus">Picornaviridae</a></i></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Coxsackie_A_virus" title="Coxsackie A virus">Coxsackie A virus</a> <ul><li><a href="/wiki/Hand,_foot,_and_mouth_disease" title="Hand, foot, and mouth disease">Hand, foot, and mouth disease</a></li> <li><a href="/wiki/Herpangina" title="Herpangina">Herpangina</a></li></ul></li> <li><a href="/wiki/Foot-and-mouth_disease_virus" title="Foot-and-mouth disease virus">Foot-and-mouth disease virus</a></li> <li><a href="/wiki/Boston_exanthem_disease" title="Boston exanthem disease">Boston exanthem disease</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Ungrouped</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Asymmetric_periflexural_exanthem_of_childhood" title="Asymmetric periflexural exanthem of childhood">Asymmetric periflexural exanthem of childhood</a></li> <li><a href="/wiki/Post-vaccination_follicular_eruption" title="Post-vaccination follicular eruption">Post-vaccination follicular eruption</a></li> <li><a href="/wiki/Lipsch%C3%BCtz_ulcer" title="Lipschütz ulcer">Lipschütz ulcer</a></li> <li><a href="/wiki/Eruptive_pseudoangiomatosis" title="Eruptive pseudoangiomatosis">Eruptive pseudoangiomatosis</a></li> <li><a href="/wiki/Trichodysplasia_spinulosa" title="Trichodysplasia spinulosa">Viral-associated trichodysplasia</a></li> <li><a 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