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This study highlights that HFMD can affect young adults as well as children, and may present with a female predominance and atypical lesion localizations.
Objectives: Hand, foot and mouth disease is a viral infection which is characterized by fever, vesicular lesions in palm, sole, and mouth, and is frequent observed in children. We aimed to investigate the clinical characteristics of 33 patients admitted to the Clinic of Dermatology in Ankara Atatürk Training and Research Hospital between 2015 and 2017. Materials and Methods: Thirty-three patients were evaluated for the presence of symptoms such as fever, pain, burning, pruritus, age, sex, localization of lesions, family and atopy history. Results: The median age of the 33 patients studied was 12.21±9.45 years (min-max: 1-36), there were 23 children and 10 adults. The mean duration of illness was calculated as 3,9±1,9 days (min-max: 1-7). 36.36% of the patients (n = 12) were male. 26 (78.78%) patients had fever history. There were atopy histories in 5 patients (15.15%), and medical history in the family and close encountered persons of 9 patients (27.27%). Eight patients (24.24%) complained of sore throat, 7 patients (21.21%) of itching. Vesicular lesions were monitored in the palms and soles of 31 patients (93.93%) and in the mouths of 24 patients (72.72%). The most frequent involvement site was hand plam (96.96%). Only 2 patients (6.06%) developed onychomadesis after the disease. Conclusion : We have observed a female gender dominance unlike other studies. It should not be forgotten that; although more common in children the disease can be observed also in young adults, it can involve body parts other than hand-foot-mouth, and long follow ups are important in the severe form of the disease.
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Kılınç et al. (2018) studied this question.
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