scholarly journals Atypical hand foot mouth disease presenting as vesiculobullous lesion

2021 ◽  
Vol 8 (12) ◽  
pp. 1998
Author(s):  
Nihil E. Lohidakshan ◽  
Chakravarthi R. Srinivas ◽  
Sruthi Alanghat

Hand, food, and mouth disease (HFMD) is a highly contagious disease caused by enteroviruses affecting young children under 5 years. Among enteroviruses (EVs), the main pathogens of HFMD are coxsackievirus A16 (CV-A16) and EV-A71 (EV-71).1 The clinical features include a prodromal phase which has low-grade fever, malaise and sore throat. This initial phase is usually followed by enanthem and erythematous papular skin lesions, predominantly affecting palms and soles. The dorsal surface of hands, feet, and perioral skin are rarely affected. Atypical HFMD presents as a widely distributed rash with varying morphology that makes clinical diagnosis and treatment challenging.2 Our objective is to present atypical cutaneous manifestations of HFMD caused by CA6.

2021 ◽  
Vol 62 (4) ◽  
Author(s):  
Vu Thai Son ◽  
Nguyen Thi Huong

Knowledge and practice of mothers and caregivers are decisive factors in the prevention of Hand,Foot and Mouth disease for children under 5 years old. A cross-sectional descriptive study was usedto assess the current status of knowledge and practice on prevention of Hand, Foot and Mouth diseaseamong mothers/carers of children under 5 years old in Tu Nang commune, Yen Chau district, SonLa province. Out of a total of 944 study subjects, 73% had correct knowledge about subjects at riskof disease, 84% knew about the danger of the disease and 81.4% knew about measures to preventthe spread. However, only 30.7% subjects had correct knowledge about taking care of children withHand, Foot and Mouth disease. The rate of using antiseptic solution for cleaning utensils of childrenis low, accounting for only 13.1%. Correct practice of handling measures when children are sickand preventing infection ranges from 30.9 to 59.4%. And most of the study subjects practiced goodenvironmental hygiene (92.8%).


2021 ◽  
Vol 9 (B) ◽  
pp. 1085-1091
Author(s):  
Anfal L. Al-Harbawi ◽  
Qasim S. Al Chalabi ◽  
Hala N. Alsalman ◽  
Mohammad S. Saeed

Background: Coronavirus disease-19 (COVID-19) is a growing pandemic around the globe that was initially discovered in Wuhan in December 2019. Despite the relatively high incidence of cutaneous manifestations in COVID-19, their role in early recognition and disease progression has not been fully investigated. Aim of this study: To report the possible incidence of the cutaneous lesion in COVID 19 patients and to describe various cutaneous manifestations and their correlation with other clinical features in Covid-19 positive patients to facilitate diagnosis and prognostications toward this virus. Methods: This research was conducted as a cross-sectional study. Skin lesions photography and their analysis were collected by dermatologists from 18 cities in Iraq between September 2020 to January 2021. The data were processed using statistical package SPSS version 23. Results: A total of 3117 confirmed COVID-19 cases were included in this study. Around 268 patients developed skin lesions with age ranged between 8 to 84 years. Of these skin lesions, 46.2% developed during the illness with minority erupting during the prodromal phase, whilst 38.8% appeared after hospitalization. The most common skin lesion was in the form of urticarial 36.74% followed by herpetic lesions 28.4%, maculopapular rash 11.74% and the remainder being candidiasis, oral thrush, chilblains, and other skin conditions. The most affected area was the torso (46%) followed by limbs, face, fingers, and toes. Conclusion: This study demonstrated the high incidence rate of dermatological lesions in different phases of COVID-19 with urticarial rash being the most frequent clinical pattern.  


Author(s):  
José Alberto García ◽  
Cindy Stefania Franco Cedeño

Una erupción cutánea puede tener múltiples causas, que incluyen inflamación, reacciones a medicamentos e infecciones. Las erupciones infecciosas pueden ser causadas por bacterias, parásitos y virus. Por su parte, las enfermedades exantematosas más comunes en la infancia son causadas por virus. La enfermedad mano-pie-boca es una enfermedad exantemática que se presenta principalmente en niños menores de 5 años, causada principalmente por el virus Coxsackie. Es una enfermedad completamente benigna, cuyo período de incubación oscila entre los 3 a 7 días, no deja secuelas, huellas ni cicatrices cuando desaparece. Se realizó un estudio retrospectivo y descriptivo para determinar las características de la fiebre aftosa en niños menores de 5 años durante el período junio a diciembre de 2019. La información se tomó de las historias clínicas de los pacientes. La muestra del estudio estuvo formada por 40 pacientes controlados de la consulta de urgencias pediátricas. Se determinó que la enfermedad se presenta con mayor frecuencia en pacientes varones entre 3 y 4 años de edad; además, la historia personal está estrechamente relacionada con la presentación y gravedad de los síntomas, así como la época del año.Palabras clave: Enfermedad mano-pie-boca; exantemas virales; Coxsackie; enfermedad exantemática. Abstract A skin rash can have multiple causes, including inflammation, drug reactions, and infections. Infectious rashes can be caused by bacteria, parasites, and viruses. For their part, the most common exanthematous diseases in childhood are caused by viruses. Hand-foot-and-mouth disease is an exanthematic disease that occurs mainly in children under 5 years of age, caused mainly by the Coxsackie virus. It is a completely benign disease, whose incubation period ranges from 3 to 7 days, it does not leave sequelae, traces or scars when it disappears. A retrospective and descriptive study was carried out to determine the characteristics of foot-and-mouth disease in children under 5 years of age during the period June to December 2019. The information was taken from the medical records of the patients. The study sample consisted of 40 controlled patients from the pediatric emergency department. It was determined that the disease occurs more frequently in male patients between 3 and 4 years of age; Furthermore, personal history is closely related to the presentation and severity of symptoms, as well as the time of year.Keywords: Hand-foot-mouth disease; viral exanthemas; Coxsackie; exanthematous disease.


2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Anthony S. Wibawa ◽  
Ellen Gunawan ◽  
Herry E. J. Pandaleke

Abstract: Viral skin infection can occur in all ages, especially in children. These viruses can cause skin lesions due to the viral replication in the epidermis or as a secondary effect of viral replication in other part of the body. This study was aimed to obtain the profile of viral skin infections in Pediatric Dermatology Division of Dermatovenereology Clinic, Prof. Dr. R. D. Kandou Hospital Manado from 2013 to 2015. This was a retrospective study using medical records of new pediatric patients with viral skin diseases, aged 0-14 years from 2013 to 2015. The results showed that there were 113 pediatric patients (12.71%) with viral skin infections. The majority of cases were 5-14 years old (73.45%), followed by 1-4 years old (25.66%) and 0-1 years old (0.88%); females (52,21%) were more commonly found. The viral skin diseases in this study were moluscum kontagiosum (47.79%), verucca vulgaris (29.20%), varicella (8.85%), herpes zoster (7.97%), and hand foot mouth disease (6.19%). Conclusion: Skin viral diseases in children were found in 12.71% of new patients, most common in females and aged 5-14 years. Moluscum contagiosum was the most common skin viral disease in all ages.Kata kunci: penyakit kulit, infeksi virus, anakAbstrak: Penyakit infeksi kulit karena virus dapat terjadi pada semua usia, tetapi lebih banyak pada anak-anak. Virus dapat menyebabkan timbulnya lesi kulit sebagai hasil dari replikasi virus di epidermis atau sebagai efek sekunder replikasi virus di tempat lain pada tubuh. Penelitian ini bertujuan untuk mengetahui profil penyakit infeksi kulit karena virus pada anak di Divisi Dermatologi Anak Poliklinik Ilmu Kesehatan Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado selama periode tahun 2013-2015. Jenis penelitian ialah retrospektif menggunakan rekam medik pasien anak baru dengan infeksi kulit karena virus, berusia 0-14 tahun periode tahun 2013-2015. Hasil penelitian mendapatkan 113 pasien anak (12,71%) dengan penyakit infeksi kulit karena virus, paling sering pada kelompok usia 5-14 tahun (73,45%), diikuti dengan usia 1-4 tahun (25,66%) dan usia 0-1 tahun (0,88%); lebih banyak pada anak perempuan (52,21%). Penyakit infeksi kulit karena virus terdiri dari moluskum kontagiosum (47,79%), veruka vulgaris (29,20%), varisela (8,85%), herpes zoster (7,97%), dan hand foot mouth disease (6,19%). Simpulan: Penyakit infeksi kulit karena virus pada anak didapatkan sebanyak 12,71% dari pasien baru, terbanyak pada kelompok usia 5-14 tahun dan jenis kelamin perempuan. Moluskum kontagiosum ditemukan terbanyak pada semua kelompok usia.Kata kunci: penyakit kulit, infeksi virus, anak


Author(s):  
AMIN DANANDEH MEHR ◽  
YOUSEF ROOSTA ◽  
ZAHRA MASHHADI

Chronic lymphocytic leukemia (CLL) is a malignant, low-grade, monoclonal disorder characterized by the accumulation of lymphocytes with variable clinical features. Cutaneous manifestations or leukemia cutis are non-specific, uncommon presentations of CLL and can present in many different ways. In this case report, we discuss a 76-year-old male who presented with skin lesions of the lower limbs and severe itching. Due to the lack of response to the treatment with topical corticosteroids, initial tests were carried out. Complete blood count results indicated lymphocytosis. Eventually Ultimately, the skin lesions led to the diagnosis of CLL. The patient was treated with bendamustine-rituximab (BR). After receiving the treatment, all cutaneous manifestations and generalized itching disappeared. This case highlights the importance of comparing similar cases of CLL presented with dermatological conditions in order to to understand proper management and practice.


2014 ◽  
pp. 192-198
Author(s):  
Quang Hung Thai ◽  
Thanh Hue Dinh ◽  
Dinh Binh Tran

Introduction: Hand-foot-mouth-disease (HFMD) is an emerging infectious disease caused by enterovirus. Based on the surveillance data of HFMD and climatic parameters, this study aims to describe the distribution of HFMD in Dak Lak in 2012-2013 and explore the influence of climatic factors on HFMD cases. Methodology: Case series and ecologic studies were used. HFMD case was defined based on MOH’s guidelines. Poisson regression was used to examine the association between the incidence of HFMD and climatic factors. Results: There were 6913 cases of HFMD in Dak Lak in 2012-2013. Mean age (SD) was 24 (17) months. The incidence of HFMD (per 100,000) was 224 in male, 165 in female, 227 in Kinh people, 119 in ethnic minority people. HFMD occurred in all districts and scattered throughout the year, but the highest incidence was in September, October and November (accounting for 43.3%). The climatic variables were related to HFMD cases. Each 1°C rising in temperature corresponded to an increased of 6.3% (RR=1.063, 95%CI=1.037-1.089) in the monthly number of HFMD cases. Similarly, an increase of each 1% in relative humidity, 50mm in rainfall or 5 hour of sunlight corresponded to an increase of 9,8% (RR=1.098, 95% CI=1.087-1.110); 1.7% (RR=1.017, 95% CI=1.005-1.029); 3.4% (RR=1.034, 95% CI=1.029-1.040) in the monthly number of HFMD cases respectively. Conclusions: HFMD occurred all the year round, peaked from September through November. The disease occurred mainly in children under 5 years of age (96%), more common in boys than in girls (ratio 1.4), in Kinh than ethnic minority people (ratio 1.9). There were HFMD cases in all districts of the province. Climatic factors (temperature, humidity, precipitation, sunshine hours) had a significant influence on occurrence and transmission of HFMD. Keywords: Hand-foot-mouth disease (HFMD), climatic factors


2019 ◽  
Vol 12 (4) ◽  
pp. e223938
Author(s):  
Luc Ollivier ◽  
Emmanuelle Renaud ◽  
Dominique Gouders ◽  
Patrice Plantin

During the follow-up of a woman treated by radiotherapy for an in situ carcinoma of her left breast, radio-induced skin lesions were diagnosed. They appeared not to be simple radiodermatitis but radio-induced Sweet syndrome. Discussions were led on the benefit of completing the last session of radiotherapy for such a low-grade malignancy while considering the risk of complication from radio-induced disease. General and local corticotherapy rapidly eradicated the fever and asthenia, while the skin lesions disappeared gradually. Moreover, biological improvement was noticed. The presented features of Sweet syndrome are almost similar in their initial phase to the radiodermatitis that is seen in common medical conditions.


Author(s):  
Elisabetta Venturini ◽  
Luisa Galli ◽  
Elena Chiappini ◽  
Maurizio De Martino ◽  
Andrea Bassi

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