门诊实践中的手足口病样疾病

Hand Foot and Mouth Disease Like Illness in Office Practice.

作者信息

Ganga N

机构信息

Department of Pediatrics, Vinayaka Missions Medical College, Karaikal, Puducherry, 609609, India.

, 39, John Selvaraj Nagar, Kumbakonam, Tamil Nadu, 612001, India.

出版信息

Indian J Pediatr. 2017 Mar;84(3):216-218. doi: 10.1007/s12098-016-2271-3. Epub 2016 Dec 12.

DOI:10.1007/s12098-016-2271-3

PMID:27943150

Abstract

OBJECTIVE

To describe the clinical profile of Hand Foot and Mouth Disease (HFMD) like illness in a cluster of cases.

METHODS

Children presenting with papulovesicular skin lesions with or without oral lesions were clinically examined, treated and followed up.

RESULTS

Out of 21 cases, 18 (85.7%) were less than 3y and 15 (71.4%) were males. Skin lesions were seen in 100% with predominant involvement of dorsum of hands, feet, palms and soles. Oral lesions were noticed in 20 (95.2%), fever in 14 (66.6%) and upper respiratory infection in 6 (28.6%). Irritability was the presenting feature in infants. Only clinical diagnosis was made. All the children recovered completely. On follow up of 16 (76.2%) cases for 3 mo, no nail changes or any other sequelae were noticed.

CONCLUSIONS

Early clinical diagnosis of HFMD is needed for monitoring and prevention of its spread.

摘要

目的

描述一组手足口病（HFMD）样疾病病例的临床特征。

方法

对出现伴有或不伴有口腔病变的丘疹水疱性皮肤损害的儿童进行临床检查、治疗及随访。

结果

21例病例中，18例（85.7%）年龄小于3岁，15例（71.4%）为男性。100%出现皮肤损害，主要累及手背部、足部、手掌和足底。20例（95.2%）出现口腔病变，14例（66.6%）发热，6例（28.6%）出现上呼吸道感染。易激惹是婴儿的主要表现特征。仅做出临床诊断。所有儿童均完全康复。对16例（76.2%）病例进行3个月的随访，未发现指甲改变或任何其他后遗症。