Therapeutic advances from the 16th Baltic Association of Dermatovenereologists Congress, University of Latvia, Riga, Latvia Hybrid Conference: Zoom the skin and save lives! 4 to 5 September 2020

Milker's nodule: an occupational infection and threat to the immunocompromised

Milker's nodule virus, also called paravaccinia virus is a DNA virus of the parapoxvirus genus transmitted from infected cows to humans. It results from contact with cattle, cattle byproducts, or fomites. Classified as an occupational disorder, those at risk of exposure include farmers, butchers, and agricultural tourists. The viral infection begins 5-15 days after inoculation as an erythematous-purple, round nodule with a clear depressed center, and a surrounding erythematous ring. While familiar to those in farming communities, the presence of the nodule may be concerning to others, particularly the immunosuppressed. Milker's nodules are self-limited in immunocompetent individuals and hea…