J. A. House and C. A. House, Diseases of Swine — Vesicular Diseases (1999)
“ Following entry into the epithelium via an abrasion, the virus multiplies in the stratum germinativum of the epidermis. Hydropic degeneration occurs, followed by necrosis of infected cells. Intracellular edema (hydropic degeneration) and intercellular edema account for vesicle formation (Madin and Traum 1955) . Virus spreads from cell to cell as the infection progresses. Local lymph nodes may become involved, with extensive lymphocyte destruction and congestion; a low-level viremia occurs and may account for some secondary lesions. ”
