Delayed Cutaneous Findings of Hand, Foot, and Mouth Disease

Indian Pediatr. 2016 Jan;53(1):42-4. doi: 10.1007/s13312-016-0788-1.

Abstract

Objective: To describe various delayed cutaneous findings associated with hand, foot, and mouth disease (HFMD).

Methods: Patients presenting with clinical features of HFMD were followed-up prospectively for a period of 3 months for the occurrence of delayed cutaneous manifestations.

Results: Out of 68 patients on regular follow-up, 23 (33.8 %) showed different types of skin and nail changes following HFMD. Nineteen showed features of onychomadesis, 9 developed nail discoloration, and Beaus line was noted in 5 patients. Cutaneous desquamation was seen in 7 patients. Spontaneous re-growth of nails occurred in all cases within 12 weeks follow-up. Skin desquamation subsided by 2-4 weeks.

Conclusion: Delayed cutaneous findings following HFMD are common.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Hand, Foot and Mouth Disease / complications*
  • Hand, Foot and Mouth Disease / epidemiology*
  • Humans
  • India / epidemiology
  • Infant
  • Male
  • Nail Diseases / epidemiology*
  • Nail Diseases / etiology*