[Source: Eurosurveillance, full page: (LINK). Abstract, edited.]


Eurosurveillance, Volume 19, Issue 12, 27 March 2014 / Rapid communications

Atypical hand, foot, and mouth disease associated with coxsackievirus A6 infection, Edinburgh, United Kingdom, January to February 2014

C Sinclair<SUP>1</SUP>, E Gaunt<SUP>2</SUP>, P Simmonds<SUP>2</SUP>, D Broomfield<SUP>3</SUP>, N Nwafor<SUP>3</SUP>, L Wellington<SUP>4</SUP>, K Templeton<SUP>5</SUP>, L Willocks<SUP>4</SUP>, O Schofield<SUP>1</SUP>, H Harvala <SUP>2</SUP><SUP>,5</SUP>
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<SUP>1</SUP>Department of Dermatology, Lauriston Building, Edinburgh, United Kingdom - 2Infection and Immunity, Roslin Institute, University of Edinburgh, United Kingdom - 3Royal Hospital for Sick Children, Edinburgh, United Kingdom - 4Public Health and Health Policy, Waverley Gate, Edinburgh, United Kingdom - 5Specialist Virology Centre, Royal Infirmary Edinburgh, United Kingdom
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Citation style for this article: Sinclair C, Gaunt E, Simmonds P, Broomfield D, Nwafor N, Wellington L, Templeton K, Willocks L, Schofield O, Harvala H. Atypical hand, foot, and mouth disease associated with coxsackievirus A6 infection, Edinburgh, United Kingdom, January to February 2014. Euro Surveill. 2014;19(12):pii=20745. Available online: http://www.eurosurveillance.org/View...rticleId=20745
Date of submission: 03 March 2014

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In January to February 2014, 16 hand, foot and mouth disease (HFMD) cases were identified in Edinburgh, United Kingdom. All presented with atypical features, with most (n=13) resembling eczema herpeticum or chickenpox. Coxsackievirus A6 (CV-A6) was identified in all the typed cases (n=11). As atypical forms of HFMD associated with CV-A6 are likely to emerge throughout Europe, clinicians should be alert to unusual clinical presentations of HFMD and virologists aware of effective diagnostic testing and enterovirus typing methods.


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