A Study on Delayed Cutaneous Findings of Hand, Foot and Mouth Disease

Objective: To describe different delayed cutaneous manifestations of hand, foot and mouth disease (HFMD). Methods: This is a prospective follow up study which included all the children presenting with clinical features of HFMD. These children were followed up after a week and subsequently every two weeks for a period of three months for assessment of delayed cutaneous manifestations. Results: Out of 38 patients on regular follow-up 13 (34.2%) developed different types of skin and nail changes. 9 showed features of onychomadesis, 5 developed nail discoloration, 6 had cutaneous desquamation & 2 presented with beau's line. 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 and self-limiting