Delayed Cutaneous Findings of Hand, Foot, and Mouth Disease.

ABSTRACT

Objective: To describe various delayed cutaneous findings associated with hand, foot, and mouth disease (HFMD). Methods: Patients presenting with clinical features of HFMD were followed-up prospectively for a period of 3 months for the occurrence of delayed cutaneous manifestations. Results: Out of 68 patients on regular follow-up, 23 (33.8%) showed different types of skin and nail changes following HFMD. Nineteen showed features of onychomadesis, 9 developed nail discoloration, and Beau’s line was noted in 5 patients. Cutaneous desquamation was seen in 7 patients. Spontaneous re-growth of nails occurred in all cases within 12 weeks follow-up. Skin desquamation subsided by 2-4 weeks. Conclusion: Delayed cutaneous findings following HFMD are common.