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Delayed Cutaneous Findings of Hand, Foot, and Mouth Disease
Shankha Subhra Nag1, Abhijit Dutta, Rajesh Kumar Mandal
1Departments of Pediatric Medicine, and *Dermatology, Venereology, and Leprosy, North Bengal Medical College, West Bengal, India. Correspondence to: Dr Shankha Subhra Nag, Department of Pediatric Medicine, North Bengal Medical College, Sushruta Nagar, West Bengal, India. dr.ssnag@gmail.com.
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.
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