{
  "abstract": "A man in his 40s with a background of chronic scrotal eczema presented with a four day history of painful scrotal rash and fever (37.8°C), after heterosexual contact with a casual partner using a condom two weeks previously. Physical examination showed hyperkeratosis and lichenification of the scrotal skin, with grey plaques bearing umbilicated pustules that coalesced into a cerebriform pattern (fig 1). Multiple enlarged lymph nodes were palpable in both inguinal regions. No rash was observed elsewhere. Serological test results for syphilis and human immunodeficiency virus were negative. A swab taken from the scrotal lesions tested negative for herpes simplex virus but positive for mpox clade IIb.",
  "authors": [
    {
      "affiliations": [
        "Department of Dermatology, Affiliated Hangzhou First People’s Hospital, School of Medicine, Westlake University, Hangzhou, China"
      ],
      "name": "Xinyi Wang"
    },
    {
      "affiliations": [
        "Department of Dermatology, Affiliated Hangzhou First People’s Hospital, School of Medicine, Westlake University, Hangzhou, China"
      ],
      "name": "Zhangyu Bu"
    }
  ],
  "title": "Cerebriform pustules on scrotum",
  "uid": "0b5de629-92d5-5e33-b8d3-b5dce595b147"
}