--- title: ORF | Push Doctor description: ORF is a viral skin disease that is spread from infected sheep or goats to humans. It usually clears up after a few weeks but the condition may cause inflammation and a secondary bacterial infection. image: https://www.pushdoctor.co.uk/hubfs/PDR_Global_6_logo_images/PD%20Logo.png --- ![Providing NHS services logo](https://www.pushdoctor.co.uk/hubfs/Providing-NHS-Services.png) ** PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP /what-we-treat/skin-conditions/orf PP 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/what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf ![Dr Dan Bunstone](https://www.pushdoctor.co.uk/hubfs/db%20blue.png) Medically reviewed by: ### Dr Dan Bunstone - Medical Officer ** Updated: **Aug 18, 2021** ** Next review: **Aug 18, 2022** BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB 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CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf BBB /what-we-treat/skin-conditions/orf CCC what-we-treat CCC skin-conditions CCC orf ** ** ## What is ORF? ORF is a viral skin disease that is spread from infected sheep or goats to humans. The disease is also known as scabby mouth, thistle disease, contagious ecthyma, infectious labial dermatitis or contagious pustular dermatitis. It is not passed from human to human. ** ** ## What are the symptoms of ORF? The ORF infection is usually confined to the top layer of your skin (known as epidermis). It most commonly appears on your hands or fingers, forearms or face, but not until 3 to 5 days after you have been in contact with the virus. Small, painful, itchy red lumps will start to develop. The lumps will be up to 2-5cm in size and you may have more than one. The condition progresses over a 3-6-week period, with the legions turning into pustules (small fluid filled bumps) or blisters that weep fluid, before crusting over.The lumps can be painful, but they will usually heal without leaving any visible scarring behind.  You may also have: - Fatigue - Fever (high temperature) - Swollen lymph glands ** ** ## Complications of ORF If you have a weakened immune system, for example, you have a chronic condition, it could lead to complications of ORF. These include: - Lots of blisters - Large, tumour-like lesions - A skin rash called erythema multiforme - Blistered skin disease, called bullous pemphigoid ** ** ## What are the causes of ORF? ORF is more common in people who work with goats and sheep or carcasses of infected animals. It develops when skin that is broken or damaged comes into contact with an infected animal, or even contaminated equipment. You should use good hygiene practices when coming into contact with sheep or goats. Wear gloves when handling animals if possible, wash your hands regularly and protect any area of skin that is broken or damaged. It is possible to contract the condition more than once, but the subsequent infections may not be as pronounced and take less time to clear up. ** ** ## What is the treatment for ORF? There is no official ORF treatment as it will normally get better on its own after a period of around 6 weeks. However, the lesions could become infected, so you will need to take steps to protect the area until it is fully healed. You should: - Keep the lesion dry and cover it with a waterproof bandage if getting the area wet. - Cover with a sterile dressing to prevent further infection at all other times. - When working with animals, keep the lesion covered and as protected as possible. You should contact a doctor if: - The lesion does not heal or show any signs of improvement - The lesion becomes rapidly bigger or spreads - You have a fever - You are experiencing severe pain In rare cases, the ORF infection may not heal on its own and you may need surgery to remove it. If it becomes infected with bacteria, a doctor will be able to assess the level of infection you have and may recommend antibiotics. ** ** ## Should you see a GP about ORF? ORF will usually clear up on its own after approximately six weeks, so medical treatment is not normally needed. However, if the lesion is not healing on its own, if you develop a high temperature, or if the condition is causing you a lot of pain, you should see a doctor. It is also possible to develop a bacterial infection in one of the lesions, which will often need treatment with antibiotics. ** ** ## How can Push Doctor help? If you are worried that you have been infected with ORF, or if the condition is not healing on its own, our GPs can help. They are available 365 days a year and can look at the affected area over video consultation at a time that suits you. Book an appointment now. ### Skin Care Articles ### **NHS - trained and registered doctors Every one of our doctors is registered with the General Medical Council and can be found on the NHS National Performers List, so you know you are only ever receiving the best possible care and advice. They are experienced in treating a wide range of conditions, and can help with almost everything your regular GP could in a physical surgery. You can meet some of our doctors [here](https://www.pushdoctor.co.uk/meet-our-doctors). Push Doctor also has an in-house Medical team, who support our doctors day in, day out, and enable our doctors to do what they do best. They are also responsible for the ongoing training and development of doctors on our platform. ** ### **CQC regulated The [Care Quality Commission (CQC)](https://www.cqc.org.uk/) is the independent regulator of health and social care in England. They are the foremost authority in our industry, assessing health providers' ability to provide people with safe, effective, compassionate and high-quality care – be they offline or online doctors. Push Doctor is registered with the CQC under the name 'Push Dr Limited', with the registration number [1-5345986073](https://www.cqc.org.uk/location/1-5345986073). Our most recent inspection took place in May 2019, concluding that the service we provide is safe, effective, caring, responsive and well-led – gaining a 'Good' rating overall. You can read the report in full on [our CQC profile](https://www.cqc.org.uk/location/1-5345986073). ** ### **Same day prescriptions Our NHS-trained GPs can, if appropriate, issue prescriptions online following a consultation. Once your consultation is complete, our team will search for the closest pharmacy to you which has your medication available. We'll then send you a text when your prescription is ready to collect. To collect your medication, simply hear to the nominated pharmacy to collect and pay for your prescription. You will need to take a valid form of ID to show the pharmacist when you arrive. This process is almost always done within the same day of your consultation. ** ### **Instant fit (sick) notes Our GPs can send a sick/fit note directly to you if necessary following an online consultation. These can be sent directly by email or first-class post. Fit notes include recommendations about how and when you'll be able to return to work or education, or whether you're able to return to work with amended duties (e.g no heavy lifting or reduced hours). They can also contain detailed advice about managing your medical issue in the workplace. ** ```json { "@context" : "http://schema.org", "@type" : "MedicalCondition", "alternateName" : "ORF", "code" : { "@type" : "MedicalCode", "code" : "B08.02", "codingSystem" : "ICD-10-CM" }, "differentialDiagnosis" : { "@type" : "DDxElement", "diagnosis" : { "@type" : "MedicalCondition", "name" : "ORF" }, "distinguishingSign" : [ { "@type" : "MedicalSymptom", "name" : "ORF is a viral skin disease that is spread from infected sheep or goats to humans." } ] }, "name" : "ORF", "possibleTreatment" : [ { "@type" : "MedicalTherapy", "name" : "Keep the lesion dry and cover it with a waterproof bandage if getting the area wet" }, { "@type" : "MedicalTherapy", "name" : "Cover with a sterile dressing to prevent further infection at all other times." }, { "@type" : "MedicalTherapy", "name" : "When working with animals, keep the lesion covered and as protected as possible." } ], "signOrSymptom" : [ { "@type" : "MedicalSymptom", "name" : "Small, painful, itchy red lumps will start to develop" }, { "@type" : "MedicalSymptom", "name" : "infection is usually confined to the top layer of your skin (known as epidermis)" }, { "@type" : "MedicalSymptom", "name" : "legions turning into pustules" } ] } ``` ```json { "@context" : "http://schema.org", "@type" : "WebPage", "description" : "ORF is a viral skin disease that is spread from infected sheep or goats to humans. It usually clears up after a few weeks but the condition may cause inflammation and a secondary bacterial infection. ", "name" : "ORF | Push Doctor", "publisher" : { "@type" : "Corporation", "name" : "Push Doctor" } } ```