Atypical hand, foot, and mouth disease in an adult patient: a case report and literature review.

Autor: Merzel Šabović EK; Department of Dermatovenereology, Ljubljana University Medical Center, Ljubljana, Slovenia., Točkova O; Department of Dermatovenereology, Ljubljana University Medical Center, Ljubljana, Slovenia., Uršič T; Institute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia., Žgavec B; Department of Dermatovenereology, Ljubljana University Medical Center, Ljubljana, Slovenia., Dolenc-Voljč M; Department of Dermatovenereology, Ljubljana University Medical Center, Ljubljana, Slovenia.; Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Jazyk: angličtina
Zdroj: Acta dermatovenerologica Alpina, Pannonica, et Adriatica [Acta Dermatovenerol Alp Pannonica Adriat] 2019 Jun; Vol. 28 (2), pp. 85-88.
Abstrakt: Hand, foot, and mouth disease is a highly contagious disease that predominantly affects children under the age of five. The illness is much less common in adults and often presents with atypical skin lesions. Here we describe the case of a 19-year-old healthy, immunocompetent male patient with atypical clinical presentation, with a macular rash on the scalp, palms, soles, and shins, and with minimal lesions in the oral cavity. The diagnosis of hand, foot, and mouth disease was confirmed by isolation of coxsackievirus A6 from a vesicle smearobtained on the right sole. The skin lesions resolved spontaneously in 1 week. This case emphasizes the underestimated fact that hand, foot, and mouth disease can also occur in adults, in either typical or frequently atypical form, and it highlights the role of coxsackievirus A6. Together with the case presentation, a review of the literature describing the disease in adults is presented.
Databáze: MEDLINE