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Old 11-12-2011
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Virus Clinical Scenario for hand foot mouth disease?

Can anyone give an example, of how a patient with Hand Foot Mouth Disease infected by Cocksakie A virus will present?
I haven't yet come across a question on it.. and I dont learn unless I solve it so please help!!
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Old 11-12-2011
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Default hi

hi, i have checked but have not seen any question.
i think the main thing will be differentiating HFMD from dxs like kawasaki, RMSF and herangina. i think the question will try to give a hint maybe tell you the characteristics of the virus, or give cardiac complications to point in the direction of kawasaki if that is the case?
HFMD occurs mostly in kids, vesicular lesions in mouth, self limiting most time, only very rarely is it complicated.
  • Initially, macular lesions appear on the buccal mucosa, tongue, and/or hard palate. These mucosal lesions rapidly progress to vesicles that erode and become surrounded by an erythematous halo.
  • Skin lesions, which present as tender macules or vesicles on an erythematous base, develop in approximately 75% of patients with HFMD.
  • A fever of 38-39C may be present for 24-48 hours.

hope this helps a little bit
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