A Case of Erythema Multiforme Evolving After Milker’s Nodule
PDF

Case Report

A Case of Erythema Multiforme Evolving After Milker’s Nodule

Turk J Dermatol 2019;13(1):23-24 DOI: 10.4274/tdd.galenos.2016.3096
,
PDF
Permissions

Abstract

Milker’s nodules are cutaneous lesions, acquired by contact with cattle, infected with paravaccinia virus. The disease generally manifests as solitary or multiple skin lesions on the hands. In this study, we presented the case of erythema multiforme which developed after milker’s nodule. A 17-year-old female patient admitted to our outpatient clinic with complaints of redness and itching in the palms and feet. We learned from the patient’s history that she had cow milking experience for the first time in her life about 15 days ago, followed by a painless swelling and fluid retention in her left-hand index finger after five days. She also had complaints of redness, itching, and burning on her palms and feet for one week. We decided to report this case because it is relatively rare presented and after milker’s nodule, the erythema multiforme development rarely seen in the clinical entity.

Keywords: Erythema multiforme, milker’s nodule, paravaccinia virus

References

1

Arıcan Ö, Uzunalı E. Sağmaç nodülü. Türkiye Klinikleri J Dermatol 2011;21:113-4.

2

Kaviarasan PK, Yamini M, Prasad P, et al. Milkers’ nodule. Indian J Dermatol 2009;54 (Suppl 1):78-9.

3

Adriano AR, Quiroz CD, Acosta ML, et al. Milker’s nodüle-case report. An Bras Dermatol 2015;90:407-10.

4

Buller RM. Poxviruses. In: Specter S, Hodinka R, Young SA, eds. Clinical virology manual. 3rd ed. Washington, D.C.: American Society of Microbiology 2000;472-86.

5

Slattery WR, Juckett M, Agger WA, et al. Milkers’nodules complicated by erythema multiforme and graft-versus-host disease afterallogeneic hematopoietic stem cell transplantation for multiple myeloma. Clin Infect Dis 2005;40:63-6.

6

Kuokkanen K, Launis J, Mörttinen A. Erythema nodosum and erythema multiforme associated with milker’s nodules. Acta Derm Venereol 1976;56:69-72.

7

Hansen SK, Mertz H, Krogdahl AS, et al. [Milker’s nodules]. Ugeskr Laeger 1997;159:436-7.