RT Journal
T1 Notes from the field: Severe hand, foot, and mouth disease associated with coxsackievirus a6—alabama, connecticut, california, and nevada, november 2011–february 2012
JF JAMA
JO JAMA
YR 2012
FD July 25
VO 308
IS 4
SP 335
OP 335
DO 
UL http://dx.doi.org/
AB 
Hand, foot, and mouth disease (HFMD) is a common viral illness caused by enteroviruses that predominantly affects children aged <5 years. In the United States, outbreaks of HFMD typically occur during summer and autumn months. The most common cause of HFMD in the United States has been enterovirus serotype coxsackievirus A16. Most infections are asymptomatic; persons with signs and symptoms typically have a mild febrile illness with rash on the palms of the hands and soles of the feet, and sores in the mouth. HFMD also has been associated, often weeks after initial symptom onset, with nail dystrophies (e.g., Beau's lines or nail shedding).