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Hand Foot and Mouth Disease Like Illness in Office Practice
N Ganga1,2
1Department of Pediatrics, Vinayaka Missions Medical College, Karaikal, Puducherry, 609609, India. gangs.mythila@gmail.com.
Insights
This study describes a Hand, Foot, and Mouth Disease (HFMD) outbreak in young children, predominantly males. Early clinical diagnosis is crucial for managing and preventing HFMD transmission.
Area of Science:
- Pediatrics
- Infectious Diseases
- Dermatology
Background:
- Hand, Foot, and Mouth Disease (HFMD) is a common viral illness in children.
- Understanding the clinical presentation of HFMD is essential for accurate diagnosis and management.
Purpose of the Study:
- To characterize the clinical features of Hand, Foot, and Mouth Disease (HFMD)-like illness in a pediatric cohort.
- To identify key diagnostic indicators and potential complications.
Main Methods:
- Clinical examination of children presenting with papulovesicular lesions.
- Treatment and follow-up of affected individuals.
- Documentation of symptoms, lesion distribution, and outcomes.
Main Results:
- 21 cases of HFMD-like illness were identified, with 85.7% affecting children under 3 years old and 71.4% in males.
- All cases presented with skin lesions (hands, feet, palms, soles); 95.2% had oral lesions, 66.6% had fever, and 28.6% had upper respiratory infections.
- No nail changes or sequelae were observed during 3-month follow-up, indicating complete recovery.
Conclusions:
- Early clinical diagnosis of HFMD is vital for effective monitoring and control of outbreaks.
- The clinical profile suggests a generally benign course with prompt recovery in this cohort.
Objective:
To describe the clinical profile of Hand Foot and Mouth Disease (HFMD) like illness in a cluster of cases.
Methods:
Children presenting with papulovesicular skin lesions with or without oral lesions were clinically examined, treated and followed up.
Results:
Out of 21 cases, 18 (85.7%) were less than 3y and 15 (71.4%) were males. Skin lesions were seen in 100% with predominant involvement of dorsum of hands, feet, palms and soles. Oral lesions were noticed in 20 (95.2%), fever in 14 (66.6%) and upper respiratory infection in 6 (28.6%). Irritability was the presenting feature in infants. Only clinical diagnosis was made. All the children recovered completely. On follow up of 16 (76.2%) cases for 3 mo, no nail changes or any other sequelae were noticed.
Conclusions:
Early clinical diagnosis of HFMD is needed for monitoring and prevention of its spread.
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