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The monkeypox chart shows the earliest signs of symptoms to look out for

A series of images released by public health chiefs show the symptoms of monkeypox to look for.

People are being urged to watch for signs of the bug, which is spreading around the world at an unusual rate.

A: Vesicle (bubble with clear liquid). B: Pustule (yellow-filled pus-filled blister). C: Pustule with indentation. DF: The ulcerated and crusted lesion causing scabs to fall off

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A: Vesicle (bubble with clear liquid). B: Pustule (yellow-filled pus-filled blister). C: Pustule with indentation. DF: The ulcerated and crusted lesion causing scabs to fall offCredit: PA

According to the UK Health and Safety Agency (UKHSA), there are 20 cases of monkeypox in the UK, a number that is increasing “every day”.

Almost 100 cases in 12 countries were confirmed by the World Health Organization (WHO) between May 13 and 21.

What is unusual about these outbreaks is that they occur in places where monkeypox is not endemic.

The UK has had just eight reported cases throughout history, but it is now facing a predicted “significant rise” in cases.

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The disease usually occurs in the tropical and rural rainforests of Central and West Africa.

Monkeypox causes symptoms between five and 21 days after exposure.

It starts with flu-like symptoms, including fever, headache, muscle and back pain, and chills.

LEVELS OF RASH

An itchy and sometimes painful rash appears slowly one to three days after illness, beginning on the face, palms, and soles.

The rash develops over several days – photos of which experts have provided to the UKHSA – and spread to other parts of the body.

What starts as a seemingly harmless red rash develops into nasty blisters that can last for several days.

UKHSA says: “Within one to five days of the onset of a fever, a rash will develop, often starting on the face and then spreading to other parts of the body.”

This early stage of the rash, which they didn’t provide a photo of, looks like chickenpox, the agency says.

The inside of the mouth, genitals and mucous membranes around the eyes can also be affected by the nasty rash.

By the third day, the lesions have progressed from flat (macular) to raised (papular).

And within a few days, the lesions turn into small blisters filled with clear fluid called vesicles.

Vesicles are shown in the first image of the diagram (A).

Image B shows the lesions becoming round, raised and firm to the touch. These are called pustules and contain yellow colored pus.

Lesions develop a central depression (navel), shown in image C.

The pustules then remain for about five to seven days before they start to crust (image DF).

The UKHSA says: “A person is contagious until all scabs have fallen off and there is intact skin underneath. The crusts may also contain infectious viral material.”

Monkeypox lesions can be very large and do not necessarily develop along the same timeline.

While some patients may have just a few lesions, others have thousands, WHO says.

“In severe cases, lesions can coalesce until large areas of skin shed,” it says.

An example of how monkeypox causes pus-filled lesions, in this case large blisters on a child's hand

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An example of how monkeypox causes pus-filled lesions, in this case large blisters on a child’s handPhoto credit: Getty
The lesions crust. Once these scabs fall off, a person is no longer contagious

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The lesions crust. Once these scabs fall off, a person is no longer contagiousPhoto credit: Getty

https://www.the-sun.com/health/5400779/monkeypox-chart-earliest-signs-symptoms-watch-for/ The monkeypox chart shows the earliest signs of symptoms to look out for

Sarah Y. Kim

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