Why the study?
Hand-foot and mouth disease presenting atypically with initial genital involvement is unusual or under-reported, and prompt recognition helps early diagnosis and avoids unnecessary evaluation.
HFMD can present atypically with genital involvement as the initial manifestation, and prompt recognition can aid in early diagnosis.
Highlights that atypical genital presentations of HFMD require prompt recognition to avoid misdiagnosis; leaves open.
Hand-foot and mouth disease (HFMD), an acute viral illness, is caused by the Coxsackievirus (CV) that commonly affects young children. We report a case of a 15-month-old female child with painful erosions over the genitalia, following which she developed erythematous macules over the palms and soles. Viral polymerase chain reaction was positive for CV. She was diagnosed to have atypical HFMD. HFMD with atypical manifestations involving the genitalia as initial presentation is a quite unusual or under-reported entity. Prompt recognition of atypical features of HFMD aids in early diagnosis and defers detailed evaluation.
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Karunanandhan et al. (2021) studied this question.
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