Joint diagnosis of pediatric and dermatology clinics: Prospective observation of thirtynine patients with hand, foot and mouth disease
Journal Title: Türkderm - Deri Hastalıkları ve Frengi Arşivi - Year 2017, Vol 51, Issue 2
Abstract
Background and Design: Hand, foot and mouth disease (HFMD) is a childhood enteroviral eruptive disease presenting with fever and cutaneous and mucosal lesions. It is benign and generally resolves spontaneously, but may sometimes result in systemic involvement. The purpose of this study was to share our clinical experience concerning patients who were followed with the diagnosis of HFMD established by the pediatric and dermatology clinics. Materials and Methods: We prospectively evaluated patients who attended our hospital with the complaints of fever and eruptions and received the diagnosis of HFMD based on the clinical findings between December 2014 and November 2015. Age, sex, month of presentation, presentation symptoms and duration of symptoms were investigated. Systemic and dermatological examination findings, laboratory results and tests such as echocardiography were reviewed. Results: Thirty-nine patients were included; 19 (48.8%) were girl and 20 (51.2%) were boy. The mean age of the patients was 29.8±27.9 (6-155) months. Six (15.3%) patients were in the 0-12 month age group, while only 3 (7.8%) were older than 60 months. Presentations were most common in September, June and October. The most common presentation symptoms were eruptions on the hands and feet (100%), fever (82.1%) and oral aphthae (79.5%). The lesions were most commonly observed on the hands (94.9%, n=37) and feet (87.2%, n=34) and in the mouth (79.5%, n=31). Cardiac involvement was determined in 3 (7.7%) patients. Nail changes were observed during monitoring in 10 (25.6%) patients. Conclusion: Our results show that the age of onset of HFMD in Turkey has decreased compared to that reported in the previous studies. Patients must be evaluated in detail in terms of clinical and laboratory findings showing severity of the disease. This study also shows that pediatricians/dermatologists collaboration is of great importance.
Authors and Affiliations
İbrahim Hakan Bucak, Birgül Tepe, Habip Almiş, Ahmet Köse, Mehmet Turgut
Keywords
Related Articles
- EP ID EP364965
- DOI 10.4274/turkderm.22804
- Views 82
- Downloads 0
Darier's disease: Clinical and demographic features of nine cases
Background and Design: Darier’s disease is a genetic disorder of keratinization with autosomal dominant inheritance. In the article presented here, demographical, clinical and histopathological findings and treatment out...
Vestibular papillomatosis mimicking genital warts in a pregnant woman
Vestibular papillomatosis (VP) is considered as an anatomical variant of vulva and suggested as the counterpart of pearly penile papules in males. The condition, approximately present in about 1% of women, is characteriz...
Primary umbilical endometriosis: Menstruating from the umbilicus
Primary umbilical endometriosis is a rare disorder and is defined as the presence of ectopic endometrial tissue within the umbilicus. The clinical diagnosis of cutaneous endometriosis remains challenging due to the varia...
Therapeutic and prophylactic effects of strontium on radiotherapy-induced skin toxicity in rats
Background and Design: This study aimed to investigate whether 5% strontium (Sr) chloride hexahydrate has preventive or therapeutic effects on the radiotherapy (RT)-induced adverse skin effects. Materials and Methods: Si...
Nail dermoscopy findings in childhood psoriasis
Background and Design: Nail dermatoscopy or onychoscopy refers to the examination of the nail unit which consists of the proximal and lateral nail folds, hyponychium, nail plate and nail bed non-invasively. Nail biopsies...