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Outbreak of hand, foot, and mouth disease in udaipur.

Agarwal N, Mittal A, Kayal A, Khare AK, Kuldeep C, Gupta LK - Indian J Dermatol (2015 Jan-Feb)

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, RNT Medical College, Udaipur, India House No. 62, Road No. 2, Ashok Nagar, Udaipur, India. E-mail: asitmittal62@gmail.com.

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Sir, Hand, foot, and mouth disease (HFMD) is a febrile, self-limiting viral illness, characterized by oral and cutaneous papulovesicular lesions... The lesions were predominantly oval, and more painful than itchy... At the time of presentation, the palms were the most commonly affected site [Figure 1], found in 22 patients (57.8%)... The most common complaints were fever in 18 (47.3%) and sore throat in 12 (31.5%) patients... There was associated family history in 11 (28.9%) patients... HFMD was first reported in India from Calicut, Kerala, in 2003... The steady and significant rise in their number over the years prompted us to undertake the study for greater awareness among pediatricians, dermatologists, and general physicians... Apart from the cases mentioned above, there were a significantly greater number of HFMD patients diagnosed and managed by other dermatologists and pediatricians in the region... As is the case with other enteroviral diseases, the clinical disease presents just the tip of the iceberg as far as the disease prevalence in community is concerned... Since the disease is self-limiting, majority of patients do not reach the health professionals and a greater number serve as carriers of the disease... Given the history of HFMD in South East Asia, many more outbreaks possibly with severe disease may be expected in India in the near future... It is important for health professionals across the country to have a high index of suspicion for HFMD... Prompt identification and management will help reduce morbidity due to the disease.

No MeSH data available.


Oval vesicular lesions on palm
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Figure 1: Oval vesicular lesions on palm

Mentions: Thirty-eight patients, 20 males and 18 females, were diagnosed with HFMD. Their ages ranged from 7 months to 10 years, with a mean age of 4.15 years. All patients presented with papulovesicular lesions over the skin, predominantly over distal extremities. The lesions were predominantly oval, and more painful than itchy. At the time of presentation, the palms were the most commonly affected site [Figure 1], found in 22 patients (57.8%). Dorsum of hands (n = 18, 47.3%, Figure 2), soles (n = 17, 44.7%), dorsum of feet (n = 16, 42.1%), buttocks (n = 15, 39.4%, Figure 3), knees (n = 14, 36.8%), and elbows (n = 14, 36.8%) were other commonly involved cutaneous sites. Oral lesions were present in 28 patients (73.6%) and included papulovesicular lesions on an erythematous base [Figure 4], many of which had eroded to form aphthous-like lesions. In some patients, they were a cause of considerable morbidity due to pain, leading to drooling of saliva, refusal to feed, and anorexia. The disease was preceded or accompanied by a prodrome of systemic features in 25 patients (65.78%). The most common complaints were fever in 18 (47.3%) and sore throat in 12 (31.5%) patients. There was associated family history in 11 (28.9%) patients. The results of hematological investigations were normal and Tzanck smears showed nonspecific inflammatory cells. Twenty patients were followed up till recovery. The duration of disease in these patients varied from 8 to 12 days. None of our patients developed any complications.


Outbreak of hand, foot, and mouth disease in udaipur.

Agarwal N, Mittal A, Kayal A, Khare AK, Kuldeep C, Gupta LK - Indian J Dermatol (2015 Jan-Feb)

Oval vesicular lesions on palm
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4318054&req=5

Figure 1: Oval vesicular lesions on palm
Mentions: Thirty-eight patients, 20 males and 18 females, were diagnosed with HFMD. Their ages ranged from 7 months to 10 years, with a mean age of 4.15 years. All patients presented with papulovesicular lesions over the skin, predominantly over distal extremities. The lesions were predominantly oval, and more painful than itchy. At the time of presentation, the palms were the most commonly affected site [Figure 1], found in 22 patients (57.8%). Dorsum of hands (n = 18, 47.3%, Figure 2), soles (n = 17, 44.7%), dorsum of feet (n = 16, 42.1%), buttocks (n = 15, 39.4%, Figure 3), knees (n = 14, 36.8%), and elbows (n = 14, 36.8%) were other commonly involved cutaneous sites. Oral lesions were present in 28 patients (73.6%) and included papulovesicular lesions on an erythematous base [Figure 4], many of which had eroded to form aphthous-like lesions. In some patients, they were a cause of considerable morbidity due to pain, leading to drooling of saliva, refusal to feed, and anorexia. The disease was preceded or accompanied by a prodrome of systemic features in 25 patients (65.78%). The most common complaints were fever in 18 (47.3%) and sore throat in 12 (31.5%) patients. There was associated family history in 11 (28.9%) patients. The results of hematological investigations were normal and Tzanck smears showed nonspecific inflammatory cells. Twenty patients were followed up till recovery. The duration of disease in these patients varied from 8 to 12 days. None of our patients developed any complications.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, RNT Medical College, Udaipur, India House No. 62, Road No. 2, Ashok Nagar, Udaipur, India. E-mail: asitmittal62@gmail.com.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Sir, Hand, foot, and mouth disease (HFMD) is a febrile, self-limiting viral illness, characterized by oral and cutaneous papulovesicular lesions... The lesions were predominantly oval, and more painful than itchy... At the time of presentation, the palms were the most commonly affected site [Figure 1], found in 22 patients (57.8%)... The most common complaints were fever in 18 (47.3%) and sore throat in 12 (31.5%) patients... There was associated family history in 11 (28.9%) patients... HFMD was first reported in India from Calicut, Kerala, in 2003... The steady and significant rise in their number over the years prompted us to undertake the study for greater awareness among pediatricians, dermatologists, and general physicians... Apart from the cases mentioned above, there were a significantly greater number of HFMD patients diagnosed and managed by other dermatologists and pediatricians in the region... As is the case with other enteroviral diseases, the clinical disease presents just the tip of the iceberg as far as the disease prevalence in community is concerned... Since the disease is self-limiting, majority of patients do not reach the health professionals and a greater number serve as carriers of the disease... Given the history of HFMD in South East Asia, many more outbreaks possibly with severe disease may be expected in India in the near future... It is important for health professionals across the country to have a high index of suspicion for HFMD... Prompt identification and management will help reduce morbidity due to the disease.

No MeSH data available.