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Ecthyma contagiosum, or orf, is an uncommon dermatosis resulting from cutaneous infection with sheep pox virus. It is generally a benign and self-limited condition. Early clinical recognition is paramount to avoid unnecessary surgical intervention or extensive diagnostic workup. Diagnosis is usually based on a clinically typical skin lesion, characteristic histology, and a history of sheep exposure. We report the case of an infected sheep farmer and review the literature.
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