scholarly journals Onychomadesis associated with hand, foot, and mouth disease: a prospective observational study from North Chennai

Author(s):  
Saraswathy Pichaachari ◽  
Jayanthi Nagappan Subramaniam ◽  
Sajeetha Sundaram

<p class="abstract"><strong>Background:</strong> Hand, foot, and mouth disease (HFMD) is a common febrile illness caused by coxsackievirus A16 and human enterovirus 71 characterized by vesicular eruptions on hands and feet and enanthem on oral mucosa. Resolves usually without complications but onychomadesis can occur as a late sequlae sometimes.</p><p class="abstract"><strong>Methods:</strong> Children with clinical diagnosis of HFMD between April to June 2018 were included in the study. Age, sex, duration of illness, cutaneous features and nail changes were noted at initial visit and during every week for next 6 weeks.<strong></strong></p><p class="abstract"><strong>Results:</strong> 58 children were recruited in the study with boys to girl’s ratio 1.2:1. The average age was 5.3 years. The vesicular lesions predominantly involved palms and soles (88.3%). 65.5% had history of fever and pruritis was the commonest cutaneous symptom. 27 children (48.21%) developed onychomadesis during follow up with average time interval of 3.2 weeks between the clinical diagnosis and nail shedding. Reassurance about spontaneous resolution of the condition given to the parents.</p><p class="abstract"><strong>Conclusions:</strong> Our study strengthened the association between the HFMD and occurrence of onychomadesis. Physician’s awareness about this benign condition is needed to avoid parental anxiety, unnecessary investigations and treatment for the children.   </p>

2017 ◽  
Vol 40 (2) ◽  
pp. 115-119 ◽  
Author(s):  
Probir Kumar Sarkar ◽  
Nital Kumar Sarker ◽  
Md Abu Tayab

Hand, foot, and mouth disease (HFMD) also known as vesicular stomatitis with exanthema, first reported in New Zealand in 1957 is caused by Coxsackie virus A16 (CVA16), human enterovirus 71 (HEV71) and occasionally by other HEV-A serotypes, such as Coxsackie virus A6 and Coxsackie virus A10, are also associated with HFMD and herpangina. While all these viruses can cause mild disease in children, EV71 has been associated with neurological disease and mortality in large outbreaks in the Asia Pacific region over the last decade. It is highly contagious and is spread through direct contact with the mucus, saliva, or feces of an infected person. This is characterized by erythrematous papulo vesicular eruptions over hand, feet, perioral area, knee, buttocks and also intra-orally mostly in children, typically occurs in small epidemics usually during the summer and autumn months. HFMD symptoms are usually mild and resolve on their own in 7 to 10 days. Treatment is symptomatic but good hygiene during and after infection is very important in preventing the spread of the disease. Though only small scale outbreaks have been reported from United States, Europe, Australia Japan and Brazil for the first few decade, since 1997 the disease has conspicuously changed its behavior as noted in different Southeast Asian countries. There was sharp rise in incidence, severity, complications and even fatal outcomes that were almost unseen before that period. There are reports of disease activity in different corners of India since 2004, and the largest outbreak of HFMD occurred in eastern part of India in and around Kolkata in 2007and Bhubaneswar, Odisha in 2009. In recent years there are cases of HFMD have been seen in Bangladesh also. Although of milder degree, continuous progress to affect larger parts of the neighboring may indicate vulnerability of Bangladesh from possible future outbreaks.Bangladesh J Child Health 2016; VOL 40 (2) :115-119


Sari Pediatri ◽  
2020 ◽  
Vol 21 (5) ◽  
pp. 271
Author(s):  
Edi Hartoyo

Latar belakang. Hand foot and mouth desease (HFMD) adalah infeksi virus akut yang biasanya menyerang anak dibawah 10 tahun, sangat menular dan dapat menimbulkan komplikasi fatal. Tujuan. Untuk mengetahui gejala klinis, komplikasi, dan serotipe penyebab HFMD di Banjarmasin. Metode. Penelitian deskriptif, sampel diambil di poliklinik RSUD Ulin dan RS. Islam Banjarmasin periode November 2015 sampai dengan Febuari 2016 yang terdiagnosis HFMD oleh dokter spesialis anak, terdapat 23 sampel.Hasil. Dari 23 pasien secara klinis HFMD terdapat 18 (78%) positif entero virus, 71, 2 (9%) positif campak, dan 3 (13%) negatif. Umur rata rata ±20,77 bulan, laki laki 12 (52%) dan perempuan 11 (48%). Gejala klinis demam 17 (74%), rash/ lesi kulit 23 (100%), susah makan 14(61%), batuk 8(35%), pilek 9(39%), diare 5(22%), konjungtivitis 2(9%), muntah 4(17%), nyeri menelan 14(61%), dan kenjang 2(9%).Kesimpulan. Penyebab HFMD terbanyak adalah EV71, umur tesering kurang dari 3 tahun, gejala klinis terbanyak lesi kulit, demam dan tidak didapatkan komplikasi serius (intakranial).


2003 ◽  
Vol 9 (1) ◽  
pp. 78-85 ◽  
Author(s):  
Kwai Peng Chan ◽  
Kee Tai Goh ◽  
Chia Yin Chong ◽  
Eng Swee Teo ◽  
Gilbert Lau ◽  
...  

2010 ◽  
Vol 138 (8) ◽  
pp. 1071-1089 ◽  
Author(s):  
S. S. Y. WONG ◽  
C. C. Y. YIP ◽  
S. K. P. LAU ◽  
K. Y. YUEN

SUMMARYHand, foot and mouth disease (HFMD) is generally a benign febrile exanthematous childhood disease caused by human enteroviruses. The route of transmission is postulated to be faeco-oral in developing areas but attributed more to respiratory droplet in developed areas. Transmission is facilitated by the prolonged environmental survival of these viruses and their greater resistance to biocides. Serious outbreaks with neurological and cardiopulmonary complications caused by human enterovirus 71 (HEV-71) seem to be commoner in the Asian Pacific region than elsewhere in the world. This geographical predilection is unexplained but could be related to the frequency of intra- and inter-typic genetic recombinations of the virus, the host populations' genetic predisposition, environmental hygiene, and standard of healthcare. Vaccine development could be hampered by the general mildness of the illness and rapid genetic evolution of the virus. Antivirals are not readily available; the role of intravenous immunoglobulin in the treatment of serious complications should be investigated. Monitoring of this disease and its epidemiology in the densely populated Asia Pacific epicentre is important for the detection of emerging epidemics due to enteroviruses.


2009 ◽  
Vol 44 (4) ◽  
pp. 262-267 ◽  
Author(s):  
Yong Zhang ◽  
Xiao-Juan Tan ◽  
Hai-Yan Wang ◽  
Dong-Mei Yan ◽  
Shuang-Li Zhu ◽  
...  

2014 ◽  
Vol 86 (8) ◽  
pp. 1377-1385 ◽  
Author(s):  
Jun Han ◽  
Ying Wang ◽  
Xing Gan ◽  
Juan Song ◽  
Peng Sun ◽  
...  

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