Journal Article

Milkers' Nodules Complicated by Erythema Multiforme and Graft-versus-Host Disease after Allogeneic Hematopoietic Stem Cell Transplantation for Multiple Myeloma

Wendolyn R. Slattery, Mark Juckett, William A. Agger, Craig A. Radi, Teri Mitchell and Rob Striker

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 40, issue 7, pages e63-e66
Published in print April 2005 | ISSN: 1058-4838
Published online April 2005 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/428619
Milkers' Nodules Complicated by Erythema Multiforme and Graft-versus-Host Disease after Allogeneic Hematopoietic Stem Cell Transplantation for Multiple Myeloma

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We describe a case of cow-transmitted parapoxvirus infection—also known as milkers' nodules—after a hematopoietic stem cell transplantation for multiple myeloma. The infection was complicated by erythema multiforme and acute exacerbation of graft-versus-host disease. Parapoxvirus was confirmed by electron microscopy. The natural history of milker's nodules in immunocompetent hosts is described and compared to that in our immunocompromised patient.

Journal Article.  2296 words.  Illustrated.

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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