Key result
Mild pediatric hand, foot, and mouth disease resolves completely within ~8 days without complications.
Why the study?
Hand, foot and mouth disease is sporadically reported as a mild illness in India, but detailed case descriptions are limited.
Case Report (n=4)
No
HFMD, though uncommon in India, can present sporadically as a mild, self-limiting illness in children.
Mild HFMD cases in Indian children may follow a benign course; hypothesis-generating and should not yet change practice.
Hand, foot and mouth disease (HFMD) is a viral infection of children caused by Coxsackie virus-A16, a type of enterovirus closely related with the virus that causes herpangina. Although seen worldwide, it is not common in India. Hand, foot and mouth disease is sporadically reported from India as a mild illness. This report describes four cases of HFMD from Nagpur, Central India, seen between September 2005 and April 2006. All patients presented with a mild febrile prodrome followed by the appearance of aphthous-like oral ulcers and vesicular lesions on the hands and feet. All cases were clinically diagnosed. Coxsackie virus A16 was isolated from the serum of one of the patients. All the patients were in the age group of 3-5 years from different schools. It was a mild illness and all the four patients recovered without any complication. There were no secondary cases in the families.
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VikrantA Saoji (2008) conducted a case report in Hand, foot and mouth disease (n=4). Hand, foot and mouth disease was evaluated on Clinical recovery. Four children in Nagpur, India, presented with mild hand, foot, and mouth disease and recovered completely within 7 to 8 days without any complications.
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