title: Hand, foot and mouth disease--outbreak in Romania?
abstract: Hand, foot and mouth disease (HFMD) is a viral illness usually occurring during the summer months in children younger than 5 years of age. In the North-East area of Romania the incidence is usually low, each dermatologist reporting 1-2 cases or even less per year. The diagnosis is usually based on the characteristic clinical aspect: vesicles and papules on the hands and feet and superficial oral ulcers. HFMD is typically a benign and self-limiting disease that resolves in approximately 7 days; in Asia there have been few reported severe cases that developed neurological complications and even death, while in certain areas of China this disease is a more and more serious public health problem. In the summer of 2012 in North-East Romania numerous cases of disease have been reported, some with atypical clinical manifestations and most of them with mild or moderate forms of disease. The present article is a discussion on one of these cases. The diagnosis was made based on lesions location and clinical appearance. An outbreak of HFMD should be confirmed by virology tests.
authors: Dermatology Department, Nicolina Medical Center, Iasi.
authors: Anca
authors: A
authors: Chiriac
authors: Biochemistry Department, Faculty of Dental Medicine, University of Medicine and Pharmacy Grigore. T. Popa, Iasi.
authors: Liliana
authors: L
authors: Foia
authors: Biochemistry Department, Faculty of Dental Medicine, University of Medicine and Pharmacy Grigore. T. Popa, Iasi.
authors: Anca
authors: A
authors: Chiriac
authors: Biochemistry Department, Faculty of Dental Medicine, University of Medicine and Pharmacy Grigore. T. Popa, Iasi.
authors: Sonia
authors: S
authors: Nanescu
authors: Family Medicine Department, Faculty Medicine, University of Medicine and Pharmacy Grigore. T. Popa, Iasi.
authors: Florina
authors: F
authors: Filip
authors: Dermato-Venerology Department, University of Medicine and Pharmacy Timişoara V. Babeş.
authors: C
authors: C
authors: Solovan
authors: Medical Genetics Department, University of Medicine and Pharmacy Grigore. T. Popa, lasi.
authors: E V
authors: EV
authors: Gorduza
mesh_terms: D002675:Child, Preschool; D004196:Disease Outbreaks; D005528:Foot / Q000473:pathology; D006225:Hand / Q000473:pathology; D006232:Hand, Foot and Mouth Disease / Q000175:diagnosis* / Q000453:epidemiology / Q000821:virology*; D006801:Humans; D008297:Male; D009262:Nails / Q000473:pathology; D019226:Oral Ulcer / Q000473:pathology; D012307:Risk Factors; D012383:Romania / Q000453:epidemiology; D012621:Seasons