Milkers’ Nodules Complicated by Erythema Multiforme and Graft‐versus‐Host Disease after Allogeneic Hematopoietic Stem Cell Transplantation for Multiple Myeloma
Author(s) -
Wendolyn Slattery,
Mark Juckett,
William A. Agger,
Craig Radi,
Teri L. Mitchell,
Rob Striker
Publication year - 2005
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/428619
Subject(s) - medicine , multiple myeloma , erythema multiforme , hematopoietic stem cell transplantation , graft versus host disease , transplantation , exacerbation , disease , immunology , pathology
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.
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