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Lumpy skin disease in cattle: signs, diagnosis and PCR after vaccination

21.09.2026 13:29:42

Lumpy skin disease in cattle: signs, diagnosis and PCR after vaccination

Lumpy skin disease affects cattle. Owners must report any suspicion to the state veterinary service within 24 hours. Skin nodules suggest the diagnosis, but laboratory confirmation is required: under the rules, the pathogen itself or its DNA must be detected. This article explains which samples to collect, how PCR differs from ELISA, and how to interpret a positive PCR result in a vaccinated animal.

What causes the disease and who must be notified?

Lumpy skin disease virus (LSDV) under a magnifying glass

The disease is caused by lumpy skin disease virus (LSDV), a member of the genus Capripoxvirus in the family Poxviridae. Sheep pox and goat pox viruses belong to the same genus. The three viruses are antigenically indistinguishable, so serological tests cannot differentiate them. Cattle and buffalo are affected. The virus is not transmissible to humans.

Lumpy skin disease is listed by the World Organisation for Animal Health (WOAH) as a disease that countries must notify. In Russia, it is included in the list of contagious animal diseases (item 29.1 of the list approved by Russian Ministry of Agriculture Order No. 476). Control measures are set out in the Veterinary rules on lumpy skin disease, approved by Russian Ministry of Agriculture Order No. 588 of 24.08.2021. They remain in force until 1 March 2028.

The main losses on farms are reduced productivity: milk yield falls sharply, cows abort, and bulls may develop temporary or permanent infertility. Restrictions on cattle movement and sale during and after quarantine add to these losses.

How the virus spreads

Stable flies, mosquitoes and ticks mechanically transmit the virus

The virus is transmitted mainly by mechanical means, through blood-sucking dickstons. In their experiments, the virus was passed on to fly-girl (Stomoxis calcitrans), Aedes aegypti mosquitoes and xodium mites. The role of mites in distribution is considered small. In direct contact, without vectors, the virus is transmitted from an animal to an animal. The exception is described for the Saratov/2017 recombinant strain in Russia (for recombinants, see para. It was handed over to contact animals in an insect-protected room. In the sperm of bulls, a living virus was found for up to 42 days and its DNA was discovered for up to 159 days. In Russia, flashes were recorded from mid-May to mid-November 2015-2020.

Signs that should raise suspicion

Signs of lumpy skin disease: skin nodules, temperature above 41 °C, reduced milk yield

The experimental incubation period is 4–14 days; the veterinary rules specify 3 to 30 days (paragraph 4 of Rules No. 588). For international trade purposes, WOAH defines it as 28 days.

Typical presentation:

  • Fever, with temperatures potentially exceeding 41 °C;
  • Firm skin nodules, 0.5 to 5 cm in diameter, on the head, neck, udder, scrotum, vulva and perineum; experimentally, they appeared on days 7–19 after infection;
  • Enlargement of superficial lymph nodes;
  • A sharp fall in milk yield;
  • Nodules on the mucous membranes of the eyes, nose, mouth and genital organs that rapidly ulcerate;
  • Limb oedema, abortions and infertility in bulls.

WOAH estimates that typically 10–20% of a herd becomes ill and 1–5% dies. For European breeds, EFSA reports 5–45% and less than 10%, respectively. In experiments, generalised lesions developed in only 40–50% of infected animals. The others had no generalised nodules, so suspected cases should be sampled even if obvious nodules are absent.

What can lumpy skin disease be confused with?

Skin nodules under a magnifying glass: diseases with similar signs

According to the GWD, the main differential diagnosis is pseudonodular dermatitis which causes herpesvirus of type 2 (BoHV-2). Similar skin lesions result in other diseases. In the case of mucous diseases, the list includes stork, blutang, viral diarrhoea (disease of mucus), malignant cathartic fever, infectious rinotracheitis, and papal stomatitis.

DiseaseHow to investigate
Pseudo-lumpy skin disease (BoHV-2)PCR for BoHV-2, ELISA for antibodies to BHV-2
Besnoitiosis (Besnoitia besnoiti)ELISA for antibodies to Besnoitia besnoiti
DermatophilosisMicroscopy of a smear from affected skin
Trichophytosis (dermatophytosis)Microscopy and culture of skin scrapings
DemodicosisMicroscopy of nodule contents
PseudocowpoxPCR for parapoxviruses
Urticaria, insect bites, photosensitisationClinical examination and history

What to do if the disease is suspected

If suspected: notify the state veterinary service within 24 hours and stop animal movements

The procedure is set out in Rules No. 588:

  1. The owner shall, within 24 hours, inform the public service of every case of illness or death of sensitive animals (p. (7) and, if suspected of noduular dermatitis, informs an official of the regional veterinary authority or its subordinate organization (para. 10). The recipient shall report within 24 hours to the head of the regional veterinary authority (para. 13).
  2. Until results are available, movement, slaughter and removal of animals from the holding are prohibited, and the cattle are treated against blood-feeding insects (paragraph 11).
  3. Samples are collected and delivered to a state veterinary laboratory or another accredited laboratory (paragraphs 10, 16–17).
  4. Diagnosis is deemed to be established if the agent has been identified or its genetic material has been detected (para. 19). If animals were injected with a living vaccine, the DNA of the vaccine virus could be in the sample. As is considered, it is discussed below.

Which samples to collect and how to transport them

Lumpy skin disease samples: blood, nodular skin and swabs; transport on ice in an insulated container within 48 hours

Skin nodules are the preferred samples for PCR. The viral titre in skin is five orders of magnitude higher than in blood, and DNA can be detected in lesions for up to three months. In a study of Russian samples collected in 2016, PCR was positive in 78% of skin nodule samples, 23% of nasal swabs and only 13% of blood samples.

Regulation No. 588 requires that samples be taken from each animal if in a group of up to 10 heads and 10 animals if the head is larger (para. 16).

Sample typeWhen usefulPoints to note
Skin fragments containing nodules and scrapings of affected nasal mucosa, 5–10 gThroughout the clinical phaseMain sample for confirmation
Blood, 5 ml, with and without anticoagulantDuring viraemia: from day 4 to day 21 after infection, depending on the studyA negative blood PCR result does not rule out the disease
Swabs of the conjunctival and nasal mucosaWhen clinical signs are presentComplement skin samples
From dead animals: nodular skin, lungs, trachea and whole lymph nodesAt necropsyCollect enlarged, oedematous lymph nodes

Samples are placed in leak-proof containers, chilled and transported on ice in an insulated container. They must reach the laboratory within 48 hours of collection (paragraph 17). WOAH recommends that blood should not be frozen. The accompanying documentation must specify the date of the last vaccination, the vaccine batch and manufacturer, or state that the animals were not vaccinated (paragraph 17). The laboratory needs this information to interpret a positive PCR result correctly.

PCR or ELISA: what each method shows

The PCR detects the virus's DNA, and ELISA identifies antibodies to it.

The PCR is looking for the DNA of the virus and confirms the case; Inoculations are recorded among the inoculated animals. The ELISA is looking for an antibodies and shows whether the body has met with a virus or vaccine. Regulation No. 588 provides that antibodies alone are not sufficient for diagnosis. If found, a PCR or a virus study (para. 18).

Real-time PCRELISA
What it detectsViral DNAAntibodies to capripoxviruses
From whenFrom the onset of fever and skin nodulesAccording to EFSA, 2 or 4 weeks after the infection; After vaccination from 20 days (producer data)
PurposeConfirm a case; test suspected and contact animals, and semenAssess post-vaccination antibodies; perform screening and retrospective investigations
LimitationsVaccine virus DNA may be detected after administration of a live vaccineDoes not distinguish vaccinated from recovered animals, or lumpy skin disease virus from sheep pox and goat pox viruses
When blood, skin nodules and serum yield positive results. VET FAKTOR diagram based on WOAH, EFSA and Rules No. 588
When blood, skin nodules and serum yield positive results. VET FAKTOR diagram based on WOAH, EFSA and Rules No. 588

Positive PCR in a vaccinated animal: vaccine or field virus?

Positive PCR in a vaccinated animal: vaccine or field virus

Russia has registered a homologous live vaccine, ZUD vak, based on the Neethling-ARRIAH strain, as well as heterologous vaccines based on sheep pox virus. Following vaccination with a live Neethling strain-based vaccine, the vaccine virus replicates in the animal. In one study, its DNA was detected in blood on days 6–15 in 17 of 27 vaccinated animals. Some animals develop a local reaction at the injection site and, occasionally, skin nodules.

Differentiating PCR assays (DIVA PCR) help distinguish field virus from vaccine virus. They differentiate Neethling vaccine strains from classical field strains. The VET FAKTOR catalogue includes the PCR-LUMPY-SKIN-DISEASE-DIFF-FAKTOR kit: according to the manufacturer, it detects viral DNA and differentiates Neethling strain-based vaccines.

Since 2017, recombinant strains containing genomic regions from both vaccine and field viruses have also been detected in Russia. In areas where they circulate, the WOAH manual recommends whole-genome sequencing to distinguish vaccine from field virus. A differentiating PCR result in a vaccinated animal must therefore be assessed alongside the time since vaccination, clinical findings and the epidemiological situation; sequencing is performed when uncertainty remains. In Russia, such testing is carried out, among others, by the Federal Centre for Animal Health (ARRIAH).

VET FAKTOR kits for diagnosing lumpy skin disease

VET FAKTOR specialists can help select kits for your laboratory’s needs and equipment: +7 (495) 789-48-11, vet@faktor.ru.

Frequently asked questions

Is lumpy skin disease dangerous to humans?

No. According to the WOAH manual, lumpy skin disease virus is not transmissible to humans. However, the veterinary rules require milk from affected or suspected cows to be destroyed, as well as semen from affected bulls (paragraph 31 of Rules No. 588).

Are affected animals treated?

There is no specific antiviral treatment; care is symptomatic. Within an outbreak, affected animals are isolated and treated, while clinically healthy animals are vaccinated (subparagraph b of paragraph 30 of Rules No. 588). Decisions are made by the state veterinary service.

When is quarantine lifted?

Quarantine is lifted 30 calendar days after the last affected animal in the outbreak has recovered or been slaughtered, and after all other required measures have been completed (paragraph 35). For a further year, unvaccinated susceptible animals may not be introduced into the outbreak site or affected locality. No susceptible animals, including vaccinated ones, may leave the affected locality except for slaughter at slaughterhouses or appropriately equipped slaughter points. Agricultural fairs, exhibitions, auctions and other events bringing susceptible animals together are also prohibited (paragraph 37).

How soon after vaccination should antibodies be tested?

According to the manufacturer of ID Screen® Capripox Double Antigen, antibodies are detectable from day 20 after vaccination. Serum for post-vaccination antibody testing should not be collected earlier. According to the WOAH manual, a negative antibody result in a vaccinated animal does not mean it is unprotected: immunity to capripoxviruses is predominantly cell-mediated, and antibody levels after vaccination may be low.

Why is ELISA positive in a vaccinated cow?

ELISA detects antibodies, which develop after both vaccination and infection. PCR is needed to confirm a case; in vaccinated animals, its results must be interpreted in the light of vaccination history.

Sources

This material is for reference only and does not replace veterinary rules or a veterinary professional’s assessment. Diagnosis is established on the basis of laboratory findings in accordance with the procedure prescribed by law.


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