Coxsackievirus B5 associated with hand-foot-mouth disease in a healthy adult

Fig 1. Dusky erythematous macules on palms.

Fig 2. Erythematous crusted macules diffusely on scalp.

Fig 3. Tense bullae noted on the superior helices of ears, left and right nasal side walls, and in nasolabial folds. Few vesicles and erythematous, crusted macules noted in perioral area.

Fig 4. Erythematous, macular eruptions present on the posterior and lateral oropharyngeal structures and with erosions present on the posterior portion and the anterior tip of tongue.

Fig 5. A, Acral skin with lymphocytes infiltrating the epidermis. B, The infiltrate is associated with keratinocyte apoptosis in early lesions. C, Papillary dermal edema (lower half of the field), epidermal necrosis, dyskeratosis, and intraepidermal vesiculation, usually seen in high-power view of more established lesions. Images owned by DermNet New Zealand.3 License link: http://creativecommons.org/licenses/by-nc-nd/3.0/nz/.