The person’s hands may show a variety of changes ranging from erythema, blistering, cracking, nodules, and ulcerations.
Factors contributing to milker’s hand:
(1) latex allergy
(2) contact allergy to various disinfectants and soaps
(3) toxic dermatitis secondary to disinfectants
(4) cowpox or pseudocowpox
(5) other infectious dermatitis (Staphylococcus, Streptococcus, other)
(6) dermatitis secondary to frequent hand washings
(7) cold exposure
(8) hand contact with fodder
(9) other skin abrasions
Differential diagnosis:
(1) hand dermatitis secondary to medications or comorbid conditions
Prevention:
(1) Evaluate for contact allergies, especially latex allergy.
(2) Maximize protection with gloves or skin barrier creams.
(3) Use least irritating chemicals.
(4) Minimize skin contact with disinfectants and chemicals.
