Atypical Hand Foot and Mouth Disease: Case report
Angel, L.F.; Garcia, F.; Iglesias, I.; Pena, F.; Pizarro, Y.; Diaz de Silva, A.
Boletin de la Asociacion Medica de Puerto Rico 110(1): 7-10
2018
ISSN/ISBN: 0004-4849 Document Number: 703074
Hand foot and Mouth Disease is a viral infection characterized by fever, malaise, herpangina and small blisters on the genital area, palms of the hands and soles of the feet. The most common agent is Coxsackievirus A16, although an atypical presentation can be seen with Coxackie A6. Enterovirus 71 has had an increase incidence in large outbreaks on recent years, especially on China. Enterovirus 71 is frequently more severe and is associated with cardiopulmonary involvement and neurologic complications; such as flaccid paralysis, meningitis, and brain stem encephalitis. Usual dermatologic manifestation has also been described in the literature, such as eczema coxsakium, petechia, purpura, and mucocutaneous reaction mimicking Stevens-Jonson syndrome. We report 3 cases of atypical Hand foot and Mouth disease with different presentations. Due to increased incidence of this disease, it is important to known about the unusual presentation of hand foot and mouth disease and to be aware of the possible recurrence in atypical Hand foot and mouth disease and severe presentation and complications, especially with enterovirus 71.
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