Which of the following best describes the cutaneous form of glanders (Farcy)?

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Multiple Choice

Which of the following best describes the cutaneous form of glanders (Farcy)?

Farcy, the cutaneous form of glanders, shows nodules that spread along superficial lymphatic channels of the limbs, evolving into chronic draining abscesses and sinuses. As these lesions heal, they leave characteristic star-shaped (stellate) scars. This combination—lesions along lymph vessels with ongoing drainage and stellate scars—captures the hallmark presentation of the cutaneous form. Other patterns describe different disease manifestations: ulcers along turbinates point to nasal involvement; tubercle-like lesions in the lungs indicate pulmonary disease; and simple skin abscesses without lymphatic spread don’t convey the distinctive chronic draining sinuses and scar pattern seen in Farcy.

Farcy, the cutaneous form of glanders, shows nodules that spread along superficial lymphatic channels of the limbs, evolving into chronic draining abscesses and sinuses. As these lesions heal, they leave characteristic star-shaped (stellate) scars. This combination—lesions along lymph vessels with ongoing drainage and stellate scars—captures the hallmark presentation of the cutaneous form.

Other patterns describe different disease manifestations: ulcers along turbinates point to nasal involvement; tubercle-like lesions in the lungs indicate pulmonary disease; and simple skin abscesses without lymphatic spread don’t convey the distinctive chronic draining sinuses and scar pattern seen in Farcy.

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