Universität zu Köln

Kuntz, Thomas, Koushk-Jalali, Bijan, Tigges, Christian, Silling, Steffi, di Cristanziano, Veronica, Wieland, Ulrike, Oellig, Frank and Kreuter, Alexander (2019). Atypical variant of hand-foot-mouth disease. Hautarzt, 70 (12). S. 964 - 969. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-1173

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Abstract

An atypical variant of hand-foot-mouth disease (HFMD) has sporadically been reported in recent years, with outbreaks in Europe, Asia, the USA and South America. A new lineage of Coxsackie virus A6 has been identified as the causative agent, a virus-type belonging to the group of enteroviruses. HFMD is transmitted through droplet infection or through faecal-oral transmission. The disease may begin with a prodromal stage and is often accompanied by fever and malaise. Typical skin findings include a papular and vesiculobullous exanthema that might be accompanied by confluent blisters (bullae), crusting, and ulceration. In contrast to classic HFMD, predilection sites include the dorsal aspects of the hands and feet, forearms, lower legs, neck and trunk. Oral lesions may be present, but are less often seen compared to classic HFMD. The course of the disease is self-limiting, with complete resolution usually within 7-14 days after disease onset. The treatment of atypical HFMD is usually symptomatic. A diagnosis of atypical HFMD might be challenging due to the polymorphous presentation of the disease. This review describes a rarely reported butmore frequently diagnosed viral condition.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kuntz, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Koushk-Jalali, Bijan UNSPECIFIED UNSPECIFIED UNSPECIFIED Tigges, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Silling, Steffi UNSPECIFIED UNSPECIFIED UNSPECIFIED di Cristanziano, Veronica UNSPECIFIED UNSPECIFIED UNSPECIFIED Wieland, Ulrike UNSPECIFIED UNSPECIFIED UNSPECIFIED Oellig, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Kreuter, Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-125319
DOI:	10.1007/s00105-019-4452-2
Journal or Publication Title:	Hautarzt
Volume:	70
Number:	12
Page Range:	S. 964 - 969
Date:	2019
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1432-1173
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language COXSACKIEVIRUS A6; ENTEROVIRUS Multiple languages Dermatology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/12531