Abstract
Eczema coxsackium is an atypical manifestation of hand, foot, and mouth disease (HFMD). It is a rare manifestation and can be easily mistaken for eczema herpeticum or impetigo. We report two male infants (twins) of 6 months of age who presented with 2 days of fever and diarrhea followed by an erythematous rash over the diaper region with multiple eroded papules. As the presentation coincided with a seasonal clustering of HFMD cases, eczema coxsackium was suspected. Polymerase chain reaction for pan-enteroviral RNA was positive in a throat swab, and a diagnosis of eczema coxsackium over the diaper dermatitis was made.
Published Version
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