Pseudocowpox [milker's node]
ICD-10 B08.03 is a billable code used to indicate a diagnosis of pseudocowpox [milker's node].
Pseudocowpox, also known as milker's node, is a viral infection caused by the pseudocowpox virus, which is a member of the Parapoxvirus genus. This condition primarily affects individuals who are in close contact with infected cattle, particularly dairy farmers and milkers. The infection is characterized by the development of small, painful nodules on the hands, fingers, and sometimes the face, which can lead to localized swelling and discomfort. The lesions typically appear as raised, red bumps that may eventually crust over and heal without significant scarring. While the condition is generally self-limiting, it can cause secondary bacterial infections if the lesions are not properly managed. Vaccination against pseudocowpox is not routinely practiced, as the disease is usually mild and resolves spontaneously. However, awareness of the condition is crucial for those working in agriculture and veterinary fields to prevent transmission and manage symptoms effectively. Complications are rare but can include persistent lesions or secondary infections, particularly in immunocompromised individuals. Overall, pseudocowpox is a benign condition, but proper hygiene and care are essential to prevent complications.
Detailed patient history including exposure to cattle and symptom description.
Patients presenting with nodular lesions after contact with livestock.
Consideration of differential diagnoses such as orf or other zoonotic infections.
Photographic evidence of lesions and detailed descriptions of lesion characteristics.
Patients with skin lesions who have a history of working with cattle.
Documentation should differentiate between pseudocowpox and other dermatological conditions.
Used when a patient presents for evaluation of pseudocowpox lesions.
Document history, examination findings, and treatment plan.
Infectious disease specialists may require additional lab results.
Pseudocowpox is a viral infection that causes painful nodules on the skin, primarily affecting those who work with cattle.
It is transmitted through direct contact with infected cattle or contaminated surfaces.
Symptoms include painful nodules, swelling, and discomfort in the affected areas.
No, vaccination is not routinely practiced as the disease is usually mild and self-limiting.
