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Adolescent hand, foot, and mouth disease
Visual Journal of Emergency Medicine 7 (2017) 48–49
Contents lists available at ScienceDirect
Visual Journal of Emergency Medicine journal homepage: www.elsevier.com/locate/visj
Visual Case Discussion
Adolescent hand, foot, and mouth disease
MARK
Ciara J. Barclay-Buchanan Assistant Professor (CHS), University of Wisconsin – Madison, Department of Emergency Medicine, Madison, WI, USA
A R T I C L E I N F O Keywords: Hand, foot, and mouth Rash Pediatric Adolescent
A previously healthy 15-year-old boy developed a fever, sore throat, malaise, and fatigue. Within 48-h, he developed a vesicular and maculopapular rash on the palms of his hands (Fig. 1), the soles of his feet (Fig. 2) and on his face (Fig. 3a). Painful intra-oral ulcerations also developed in his mouth (Fig. 3b). Several of his school classmates and his 17-year-old brother also developed a similar constellation of symptoms within the same week.
Fig. 1. Maculopapular lesions on the palm of his hand.
http://dx.doi.org/10.1016/j.visj.2017.01.006 Received 7 November 2016; Accepted 5 January 2017 2405-4690/ © 2017 Elsevier Inc. All rights reserved.
Fig. 2. Vesicular and maculopapular lesions on the sole of his foot.
Visual Journal of Emergency Medicine 7 (2017) 48–49
C.J. Barclay-Buchanan
Appendix A. Supplementary material Supplementary data associated with this article can be found in the online version at http://dx.doi.org/10.1016/j.visj.2017.01.00510. 1016/j.visj.2017.01.006. Further reading 1 Downing C, Romirez-Fort MK. Coxsackievirus A6 associated hand, foot and mouth disease in adults: clinical presentation and review of literature. J Clin Virol. 2014;4:381–386. 2 Irving S, Barclay-Buchanan CJ. Onychomadesis: a rare sequela of hand, foot, and mouth disease. J Emerg Med. 2015;49(4):e127–e128 [PMID:26113378]. 3 Repass GL, Palmer WC, Stancampiano FF. Hand, foot, and mouth disease. identifying and managing an acute viral syndrome. Cleve Clin J Med. 2014;81(9):537–543.
Fig. 3. a and b Maculopapular lesions around his mouth and intra-oral ulcerations on his oral mucosa.
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Contents lists available at ScienceDirect
Visual Journal of Emergency Medicine journal homepage: www.elsevier.com/locate/visj
Visual Case Discussion
Adolescent hand, foot, and mouth disease
MARK
Ciara J. Barclay-Buchanan Assistant Professor (CHS), University of Wisconsin – Madison, Department of Emergency Medicine, Madison, WI, USA
A R T I C L E I N F O Keywords: Hand, foot, and mouth Rash Pediatric Adolescent
A previously healthy 15-year-old boy developed a fever, sore throat, malaise, and fatigue. Within 48-h, he developed a vesicular and maculopapular rash on the palms of his hands (Fig. 1), the soles of his feet (Fig. 2) and on his face (Fig. 3a). Painful intra-oral ulcerations also developed in his mouth (Fig. 3b). Several of his school classmates and his 17-year-old brother also developed a similar constellation of symptoms within the same week.
Fig. 1. Maculopapular lesions on the palm of his hand.
http://dx.doi.org/10.1016/j.visj.2017.01.006 Received 7 November 2016; Accepted 5 January 2017 2405-4690/ © 2017 Elsevier Inc. All rights reserved.
Fig. 2. Vesicular and maculopapular lesions on the sole of his foot.
Visual Journal of Emergency Medicine 7 (2017) 48–49
C.J. Barclay-Buchanan
Appendix A. Supplementary material Supplementary data associated with this article can be found in the online version at http://dx.doi.org/10.1016/j.visj.2017.01.00510. 1016/j.visj.2017.01.006. Further reading 1 Downing C, Romirez-Fort MK. Coxsackievirus A6 associated hand, foot and mouth disease in adults: clinical presentation and review of literature. J Clin Virol. 2014;4:381–386. 2 Irving S, Barclay-Buchanan CJ. Onychomadesis: a rare sequela of hand, foot, and mouth disease. J Emerg Med. 2015;49(4):e127–e128 [PMID:26113378]. 3 Repass GL, Palmer WC, Stancampiano FF. Hand, foot, and mouth disease. identifying and managing an acute viral syndrome. Cleve Clin J Med. 2014;81(9):537–543.
Fig. 3. a and b Maculopapular lesions around his mouth and intra-oral ulcerations on his oral mucosa.
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