Coxsackievirus A6 may be emerging as a new and major cause of epidemic hand, foot, and mouth disease.
May prompt CVA6 testing in HFMD with onychomadesis; hypothesis-generating for shifting enterovirus epidemiology.
During fall 2008, an outbreak of hand, foot, and mouth disease (HFMD) with onychomadesis (nail shedding) as a common feature occurred in Finland. We identified an unusual enterovirus type, coxsackievirus A6 (CVA6), as the causative agent. CVA6 infections may be emerging as a new and major cause of epidemic HFMD.
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Österback et al. (2009) studied this question.
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