Lymphocystis
This is a common viral disease (herpes) that affects both freshwater and saltwater fish. It is noticed by aquaraists when their fish have become stressed, and was thought to have started through invasion of external damage. However, it has now been discovered that it enters the body as a spore taken in through the gills or injested. It can occur in the best kept koi ponds and does not depend on water quality or fish health.
The first signs are small, white pin-prick looking growths that occur on their fins and skin and at this early stage can be mistaken for Ich/Ick (Ichthyophthirius multifiliis). However, it soon clumps together and forms a cauliflower-like growth on the skin, fins and occasionally the gills.

