Abstract
Hand-mouth-foot disease is generally caused by Coxsackievirus A16 and Enterovirus 71, which are subtypes of enteroviruses, can lead to outbreaks in the people. Recently, an atypical form of disease has been described which consist of different characteristics from classical form. It was first reported in 2008 and differ from the classical form of disease in that widespread distribution of vesiculobullous skin lesions on the trunk and neck, high rate of ulcerate and bullous formation, crusted and scabbed lesions and onychomadesis. Herein, we reported a 17-month-old child with atypical hand-foot-mouth disease. He was firstly diagnosed with eczema herpeticum, lead to a small outbreak, and healed with onicomadesis. We pointed out atypical enteroviral diseases in infants especially presented with eczema herpeticum and negative tests for herpesviruses. Unnecessary use of acyclovir could be avoided if atypical manifestations of disease are well known. Also, hospital and community outbreaks can be prevented with taking the protective measures.
Keywords: atypical hand-mouth-foot disease, enterovirus, eczema herpeticum, onikomadesis
