Hand foot and mouth disease_0815 IoW
A 32-year-old librarian presented with a nonblanching rash across his lower extremities and hands and on the mucosal surfaces of his mouth. He had no significant past medical history and no recent sexual activity or travel. A complete blood count test showed no abnormalities.
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Hand-foot-and-mouth disease (HFMD) is related to herpangina, another syndrome caused by the same set of viruses. Both herpangina and HFMD are caused by enteroviruses, most commonly Coxsackievirus A.