Last Updated: 2020-11-19
Paravacine nodes, milking pox.
Rare zoonosis of low infectivity caused by parapox virus.
- Incubation period: 5-7 days.
- Occurring on contact with cows.
- Usually only the hands are affected.
Hemispherical, pea-sized, turgid, yellowish-brown knots with a blue-black tip. Locoregional lymphadenopathy.
Anamnesis, clinic, dermatopathology, electron microscopy (negative contrast), culture.
Vascular, epidermal granulation tissue with balloonized cells, multilocular vesicles.
- Locally drying and antiseptic
- Iodine povidone (Betadine® solution.)
- Application: Leave on for 2-3 minutes.
- AI: Hyperthyroidism, M. Duhring, as part of radioiodotherapy.
- According to the specialist information, pregnancy and lactation are also contraindications. In our opinion, the use of this method is also well justified.
- Ruhigstellung der Finger
- Adriano AR, Quiroz CD, Acosta ML, Jeunon T, Bonini F. Milker's nodule--Case report. An Bras Dermatol 2015;90:407-10.
- Batalla A, Alvarez-Arguelles ME, Gonzalez-Martinez MB, Curto JR. [Milker's nodule complicated with erythema multiforme]. Med Clin (Barc) 2013;141:e5.
- Henriques AM, Fagulha T, Duarte M, et al. Avian Poxvirus Infection in a Flamingo (Phoenicopterus Ruber) of the Lisbon Zoo. J Zoo Wildl Med 2016;47:161-74.
- Osadebe LU, Manthiram K, McCollum AM, et al. Novel poxvirus infection in 2 patients from the United States. Clin Infect Dis 2015;60:195-202.
- Novel poxvirus discovered in sea otters. J Am Vet Med Assoc 2014;245:265.
- Werchniak AE, Herfort OP, Farrell TJ, Connolly KS, Baughman RD. Milker's nodule in a healthy young woman. Journal of the American Academy of Dermatology 2003;49:910-1.