Adrian Hugo Aginagalde
Spokesperson of the Spanish Society of Preventive Medicine, Public Health and Health Management (SEMPSPGS), Head of Service of the Epidemiological Surveillance and Health Information Unit of Gipuzkoa and, previously, Head of Service of the Population Screening Programmes Unit at the Ministry of Health
"The paper describes that the initial monkeypox lesions are usually related to the area of inoculation and are initially pseudopustules that can evolve into small generalised pustules. According to this research, mucosal ulcers have also been found, which were not so common in classical descriptions. Being HIV-infected and on treatment was not associated with increased severity.
Of the three recently published studies on monkeypox in Spain, this is the one with the smallest volume of patients (9%) as well as important limitations, such as the fact that they belong to a registry of patients who attended dermatology consultations. This conditions the profile of the cases and the conclusions that can be drawn, but in the initial phases they are essential to characterise the disease and generate new information on aspects such as the progression of the lesions".