title: Milkers' nodules complicated by erythema multiforme and graft-versus-host disease after allogeneic hematopoietic stem cell transplantation for multiple myeloma.
abstract: 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.
authors.affiliation: Section of Infectious Diseases, Department of Medicine, University of Wisconsin, Madison, Wisconsin 53706, USA.
authors.forename: Wendolyn R
authors.initials: WR
authors.lastname: Slattery
authors.forename: Mark
authors.initials: M
authors.lastname: Juckett
authors.forename: William A
authors.initials: WA
authors.lastname: Agger
authors.forename: Craig A
authors.initials: CA
authors.lastname: Radi
authors.forename: Teri
authors.initials: T
authors.lastname: Mitchell
authors.forename: Rob
authors.initials: R
authors.lastname: Striker
mesh_terms: D000328:Adult; D004892:Erythema Multiforme / Q000150:complications*; D006086:Graft vs Host Disease / Q000150:complications* / Q000188:drug therapy; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D009101:Multiple Myeloma / Q000628:therapy*; D011213:Poxviridae Infections / Q000150:complications* / Q000473:pathology
chemical_list: D007166:Immunosuppressive Agents