Hand, foot, and mouth disease can rarely present with unilateral hemorrhagic maculopathy in immunocompetent adults, which can be managed for complete recovery.
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Alerts clinicians to rare HFMD maculopathy in adults; extends phenotypic spectrum but leaves open prospective validation.
Hand, foot, and mouth disease (HFD) is a common systemic infection occurring in childhood or immunocompromised adults caused by enteroviruses, the most common being coxsackievirus A16 and enterovirus 71. It is characterized by maculopapular eruptions over the hands and feet and ulcerative stomatitis. Ocular involvement is a rare complication and commonly manifests as inflammatory macular pathology. We report a case of HFD in an immunocompetent adult male with unilateral ocular involvement presenting as hemorrhagic maculopathy and its management with complete anatomical and functional recovery.
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Tandon et al. (2016) studied this question.
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