The presence of cutaneous nodules is reported in vulnerable populations of Irrawaddy dolphins Orcaella brevirostris from Malaysia (Kuching, Bintulu-Similajau, KinabatanganSegama and Penang Island), India (Chilika Lagoon) and Bangladesh (Sundarbans). Approximately 5700 images taken for photo-identification studies in 2004 to 2013 were examined for skin disorders. Nodules were detected in 6 populations. They appeared as circumscribed elevations of the skin and varied in size from 2 to > 30 mm, were sparse or numerous and occurred on all visible body areas. In 8 photo-identified (PI) dolphins from India and Malaysia, the lesions remained stable (N = 2) or progressed (N = 6) over months but did not regress. The 2 most severely affected individuals were seen in Kuching and the Chilika Lagoon. Their fate is unknown. Cutaneous nodules were sampled in a female that died in a gillnet in Kuching in 2012. Histologically, the lesions consisted of thick collagen bundles covered by a moderately hyperplasic epithelium and were diagnosed as fibropapillomas. Whether the nodules observed in the other O. brevirostris were also fibropapillomas remains to be investigated. Disease prevalence ranged from 2.2% (N = 46; Bintulu-Similajau) to 13.9% (N = 72; Chilika) in 4 populations from Malaysia and India. It was not significantly different in 3 study areas in eastern Malaysia. In Chilika, prevalence was significantly higher (p = 0. well et al. 1975, Kiszka et al. 2009, Reif et al. 2009, Van Bressem et al. 2009b. In some small communities of inshore and estuarine populations, these pathologies are highly prevalent, may progress to cover extensive body areas and have been associated with the death or disappearance of severely affected individuals, including calves (Simões-Lopes et al. 1993, Van Bressem et al. 2007a, Kiszka et al. 2009, Daura-Jorge & Simões-Lopes 2011. However, their impact on the long-term viability of affected communities is still vastly unknown. The fungi Lacazia loboi, Fusarium spp., Paracoccidioides brasiliensis and Trichophyton spp. have been identified as the aetiological agents of some nodular disorders (Caldwell et al. 1975, Frasca et al. 1996, Van Bressem et al. 2007a, Esperón et al. 2012, Tanaka et al. 2012). Immune dysfunction is also known to play a role in the pathogenesis of L. loboi disease in coastal common bottlenose dolphins Tursiops truncatus from Florida, USA (Reif et al. 2009, Murdoch et al. 2010.Irrawaddy dolphins Orcaella brevirostris occur in large rivers and marine appended lakes in South Asia, as well as in the coastal waters of the Indo-Pacific Ocean (Smith 2009). Estuarine and nearshore populations are distributed in tropical and subtropical waters of the Indo-Pacific Ocean, from eastern India to the Philippines (Dolar et al. 2002, Minton et al. 2011. Riverine populations have been documented in 3 major river systems: the Mahakam (Indonesia), the Ayeyarwady (Myanmar) and the Mekong (Laos, Cambodia and Vietnam) (Smith 2009). Their habitat preference exposes them to multiple anthropog...