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January 1, 2020European Journal of DermatologyOpen Access

Coxsackievirus A6 infection presenting with different clinical phenotypes of hand-foot-and-mouth disease in two brothers at the same time

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Key result

Two brothers infected with Coxsackievirus A6 simultaneously presented with different clinical phenotypes of hand-foot-and-mouth disease, suggesting atopic dermatitis as a risk factor for the atypical form.

Why the study?

Fumaric acid esters are the most widely used oral systemic treatment for moderate-to-severe psoriasis in Germany, but little is known about the demographics of patients receiving them.

Comparison

Fumaric acid esters vs methotrexate

Design

National patient registry study

Authors

KTKanae TakenakaTokyo-Kita Medical CenterKKKeiichiro KawasakiTokyo-Kita Medical CenterTFTakeshi FukumotoKyoto Prefectural University of Medicine

Discussion

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Member takes

Implication

FAE initiators in German registry differ demographically from MTX users; leaves open whether these profiles affect comparative outcomes.

Study Design

Type

Case Report (n=2)

Multicenter

No

Structured PICO

P
Population
Two male siblings, aged 7 months and 2 years, presenting with different clinical phenotypes of hand-foot-and-mouth disease caused by Coxsackievirus A6.
E
Exposure
Intravenous acyclovir (5 mg/kg, three times/day) for 4 days, followed by oral acyclovir for 3 days (administered to the younger brother).
O
Outcome
Resolution of skin lesions and normalization of body temperature

Atopic dermatitis may be a risk factor for atypical hand-foot-and-mouth disease caused by Coxsackievirus A6 in children.

Limitations

  • Cannot exclude the possibility that the patients' ages also affected the clinical picture of CV-A6-induced HFMD

Cite This Study

Takenaka et al. (2020) conducted a case report in Hand-foot-and-mouth disease (n=2). Coxsackievirus A6 infection was evaluated on Clinical phenotype of HFMD. Two brothers infected with Coxsackievirus A6 simultaneously presented with different clinical phenotypes of hand-foot-and-mouth disease, suggesting atopic dermatitis as a risk factor for the atypical form.

synapsesocial.com/papers/6a9334cf2f1f888690d1867ahttps://doi.org/10.1684/ejd.2020.3714
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Coxsackievirus A6 and Hand, Foot, and Mouth Disease, Finland2009 · 357 citations
  2. 2Disseminated coxsackievirus A6 affecting children with atopic dermatitis2015 · 19 citations
  3. 3Atypical Forms of Hand, Foot, and Mouth Disease: A Prospective Study of 47 Italian Children2016 · 44 citations
  4. 4An outbreak of hand-foot-and-mouth disease mimicking chicken pox, with a frequent association of onychomadesis in Japan in 2009: A new phenotype caused by coxsackievirus A62014 · 26 citations
  5. 5Hand, Foot, and Mouth Disease Caused by Coxsackievirus A62012 · 160 citations