Related Experiment Video
Updated: Jan 9, 2026

Recognition of Epidermal Transglutaminase by IgA and Tissue Transglutaminase 2 Antibodies in a Rare Case of Rhesus Dermatitis
Published on: December 15, 2011
Eczema Coxsackium: An Unusual Presentation in Atopic Dermatitis and Hand, Foot, and Mouth Disease
Logan R Smith1, Helana Ghali1, Jessica Creech2
1University of South Florida, Morsani College of Medicine.
Insights
Eczema coxsackium, a severe hand, foot, and mouth disease variant, can present atypically in infants with atopic dermatitis. Early recognition is key for managing this viral exanthem, especially in children with eczema.
Area of Science:
- Pediatrics
- Dermatology
- Infectious Diseases
Background:
- Eczema coxsackium is a severe form of hand, foot, and mouth disease.
- It is primarily caused by coxsackievirus A6 and A16.
- This condition predominantly affects children with atopic dermatitis.
Purpose of the Study:
- To report an atypical case of eczema coxsackium in an infant.
- To highlight the importance of considering eczema coxsackium in the differential diagnosis of viral exanthems in children with atopic dermatitis.
Main Methods:
- Case report of an 8-month-old infant with a history of atopic dermatitis.
- Diagnosis based on clinical findings and patient history.
Main Results:
- The infant presented with a widespread rash and prolonged fevers, lacking typical oral lesions.
- This presentation was considered atypical for eczema coxsackium.
Conclusions:
- Eczema coxsackium can manifest atypically, even without classic oral involvement.
- Clinicians should consider eczema coxsackium in the differential diagnosis of viral rashes in atopic children.
Abstract:
Eczema coxsackium, a more severe manifestation of hand, foot, and mouth disease, is primarily caused by coxsackievirus A6 and A16. It predominantly affects children with atopic dermatitis and is characterized by vesicular, bullous, and erosive eruptions on both active and inactive eczematous skin, including involvement of the oral mucosa, typically following a brief febrile prodrome. We report an atypical case of eczema coxsackium in an 8-month-old with a history of atopic dermatitis who presented with a widespread rash and prolonged fevers without typical oral lesions. The diagnosis of eczema coxsackium was made based on clinical findings and history. This illustrative case underscores the importance of considering eczema coxsackium in the differential diagnosis of viral exanthems, particularly in children with atopic dermatitis.
Related Concept Videos
Endocarditis II: Clinical Features of Infective Endocarditis
Skin Diseases and Disorders
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
Rheumatic Heart Disease I: Introduction
Endocarditis I: Introduction
Cardiovascular System Abnormal Findings I: Inspection and Palpation
Abnormal findings observed during an inspection

