Abstract:
OBJECTIVE:To characterize the atypical cutaneous presentations in the coxsackievirus A6 (CVA6)-associated North American enterovirus outbreak of 2011-2012. METHODS:We performed a retrospective case series of pediatric patients who presented with atypical cases of hand, foot, and mouth disease (HFMD) from July 2011 to June 2012 at 7 academic pediatric dermatology centers. Patients were included if they tested positive for CVA6 or if they met clinical criteria for atypical HFMD (an enanthem or exanthem characteristic of HFMD with unusual morphology or extent of cutaneous findings). We collected demographic, epidemiologic, and clinical data including history of skin conditions, morphology and extent of exanthem, systemic symptoms, and diagnostic test results. RESULTS:Eighty patients were included in this study (median age 1.5 years, range 4 months-16 years). Seventeen patients were CVA6-positive, and 63 met clinical inclusion criteria. Ninety-nine percent of patients exhibited a vesiculobullous and erosive eruption; 61% of patients had rash involving >10% body surface area. The exanthem had a perioral, extremity, and truncal distribution in addition to involving classic HFMD areas such as palms, soles, and buttocks. In 55% of patients, the eruption was accentuated in areas of eczematous dermatitis, termed "eczema coxsackium." Other morphologies included Gianotti-Crosti-like (37%), petechial/purpuric (17%) eruptions, and delayed onychomadesis and palm and sole desquamation. There were no patients with serious systemic complications. CONCLUSIONS:The CVA6-associated enterovirus outbreak was responsible for an exanthem potentially more widespread, severe, and varied than classic HFMD that could be confused with bullous impetigo, eczema herpeticum, vasculitis, and primary immunobullous disease.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Mathes EF,Oza V,Frieden IJ,Cordoro KM,Yagi S,Howard R,Kristal L,Ginocchio CC,Schaffer J,Maguiness S,Bayliss S,Lara-Corrales I,Garcia-Romero MT,Kelly D,Salas M,Oberste MS,Nix WA,Glaser C,Antaya Rdoi
10.1542/peds.2012-3175subject
Has Abstractpub_date
2013-07-01 00:00:00pages
e149-57issue
1eissn
0031-4005issn
1098-4275pii
peds.2012-3175journal_volume
132pub_type
杂志文章相关文献
PEDIATRICS文献大全abstract:BACKGROUND:Cysteinyl leukotrienes are implicated in the inflammation of bronchiolitis. Recently, a specific cysteinyl leukotriene receptor antagonist, montelukast (Singulair [MSD, Haarlem, Netherlands]), has been approved for infants in granule sachets. OBJECTIVE:Our goal was to evaluate the effect of montelukast on c...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1542/peds.2008-1744
更新日期:2008-12-01 00:00:00
abstract::A summary of the author's experience with 1,000 hyperactive children treated in a private practice over a period of 10 years is presented. Of 1,000 children entering the office, 872 were treated with stimulants for more than 6 months. Of these 872 children, 137 (16%) were considered as treatment failures; 735 (84%) ha...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1985-08-01 00:00:00
abstract:OBJECTIVE:To examine the relationship between annual provider (hospital and surgeon) volume of pediatric cardiac surgery and in-hospital mortality. DESIGN:Population-based retrospective cohort study using a clinical database. SETTING:The 16 acute care hospitals in New York with certificate of need approval to perform...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.101.6.963
更新日期:1998-06-01 00:00:00
abstract:BACKGROUND:Blood transfusions in the neonatal patient population are common, but there are no established guidelines regarding transfusion thresholds. Little is known about postoperative outcomes in neonates who receive preoperative blood transfusions (PBTs). METHODS:Using the American College of Surgeons National Sur...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-3718
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVE:There is concern that high-deductible health plans may have negative effects on vulnerable groups. The objective of this study was to compare the characteristics of families who have children and switch to high-deductible health plans with those who stay in traditional plans. METHODS:This double-cohort study...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-1738
更新日期:2009-04-01 00:00:00
abstract::The movement of young adults with special health care needs from pediatric-oriented care to adult-oriented care has been a growing concern in the health care literature over the past 20 years. This article reviews the development and evaluation of health care transition policy over that period of time. These health ca...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:Despite high per capita health care expenditure, the United States has crude infant survival rates that are lower than similarly developed nations. Although differences in vital recording and socioeconomic risk have been studied, a systematic, cross-national comparison of perinatal health care systems is lac...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.109.6.1036
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVES:Ketamine provides effective and relatively safe sedation analgesia for reduction of fractures in children in the emergency department. However, prolonged recovery and adverse effects suggest the opportunity to develop alternative strategies. We compared the efficacy and adverse effects of ketamine/midazolam ...
journal_title:Pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1542/peds.2005-1694
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVE:Siblings and other children who share a home with a physically abused child are thought to be at high risk for abuse, but rates of injury in these contact children are unknown and screening of contacts is highly variable. Our objective was to determine the prevalence of abusive injuries identified by a common...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2012-0085
更新日期:2012-08-01 00:00:00
abstract::Early sexual intercourse among American adolescents represents a major public health problem. Although early sexual activity may be caused by a variety of factors, the media are believed to play a significant role. In film, television, and music, sexual messages are becoming more explicit in dialogue, lyrics, and beha...
journal_title:Pediatrics
pub_type: 指南,杂志文章
doi:10.1542/peds.107.1.191
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:Postnatal steroids (PNSs) are used frequently to prevent or treat chronic lung disease (CLD) in the very low birth weight (VLBW) infant, and their use continues despite concerns regarding an increased incidence of longer-term neurodevelopmental abnormalities in such infants. More recently, there has been a su...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-0796
更新日期:2006-03-01 00:00:00
abstract::A total of 22 infants of less than 31 weeks' gestation who were mechanically ventilated for a minimum of 12 hours for respiratory distress syndrome were studied. The coefficient of variation of direct systolic pressure was measured each minute from six to 36 hours of age and averaged per hour after birth with a microc...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1989-05-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to use nationwide registries to examine the health of children up to 4 years of age who were born as a result of in vitro fertilization. METHODS:Children born after in vitro fertilization (N = 4559) from 1996 to 1999 were monitored until 2003. Two control groups were selected fr...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-0735
更新日期:2006-11-01 00:00:00
abstract::There is broad recognition of the need for population-based research to assess the safety and efficacy of newborn screening (NBS) for conditions that are not on current panels. However, prospective population-based research poses significant ethical, regulatory, and logistical challenges. In the context of NBS, there ...
journal_title:Pediatrics
pub_type: 杂志文章,实务指引
doi:10.1542/peds.2013-2271
更新日期:2014-02-01 00:00:00
abstract::A case of cardiomegaly with unilateral pulmonary edema is presented. The predisposing etiologies were severe hypoglycemia and a hypertonic glucose infusion into a branch of the left lower lobe pulmonary vein. Resolution resulted following maintenance of adequate glucose levels, vigorous cardiopulmonary support, and re...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1980-02-01 00:00:00
abstract:OBJECTIVES:Unsolicited reports regarding potentially serious adverse drug reactions in neonates and young infants were reported to the Food and Drug Administration, leading to changes in the package label for ceftriaxone. This report describes and summarizes the reported cases that led to safety concerns regarding the ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-3080
更新日期:2009-04-01 00:00:00
abstract:STUDY OBJECTIVES:To identify the sociodemographic and Health Belief Model predictors of follow-up appointment-keeping behavior. DESIGN:Prospective observational study. SETTINGS:General adolescent medical clinic. PATIENTS AND MEASUREMENTS:Sequential sample of 166 adolescents (aged 12 to 20 years, mean = 15.9 years) e...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Identifying international differences in the management of acute pediatric poisonings may help improve the quality of care. The objective of this study was to assess the international variation and appropriateness of gastrointestinal decontamination (GID) procedures performed in children and a...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2017-0006
更新日期:2017-08-01 00:00:00
abstract::Pediatricians in the Washington, DC, metropolitan area were surveyed to assess their readiness to deal with life-threatening emergencies in their offices. Information about emergency equipment, prearranged emergency plans, advanced life support training, and emergency medical services assistance was elicited. Recommen...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract:OBJECTIVE:Prevention efforts targeting adolescent risk behavior have had limited effectiveness, partly because of the reliance on individual-level interventions that do not consider the context within which behavior occurs. In addition, the role of development has not been well studied regarding its possible moderating...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-2089M
更新日期:2007-02-01 00:00:00
abstract:BACKGROUND:Prolonged mechanical ventilation is associated with lung injury in preterm infants. In these infants, weaning from synchronized intermittent mandatory ventilation may be delayed by their inability to cope with increased respiratory loads. The addition of pressure support to synchronized intermittent mandator...
journal_title:Pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1542/peds.2005-2923
更新日期:2006-10-01 00:00:00
abstract::High-grade reflux commonly lasts longer than moderate reflux, which disappears with maturation of the ureterovesical junction. It is known that ureteral function is affected by urinary tract infection from studies in experimental animals, as well as through clinical findings in patients with upper tract infection. Whe...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:
更新日期:1988-07-01 00:00:00
abstract::Persistent hyperinsulinemic hypoglycemia of infancy or congenital hyperinsulinism of the neonate is a rare condition that may cause severe neurologic damage if the disease is unrecognized or inadequately treated. Current treatment aims to restore normal blood glucose levels by providing a carbohydrate-enriched diet an...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2003-1180-L
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVE:We examined chronic conditions, functional limitations, and special health care needs in extremely preterm children (EPT; 23-25 weeks' gestation) born between 1992 and 1998 at 2 Swedish tertiary care centers that offered regional and active perinatal care to all live-born EPT infants. METHODS:Of 134 survivin...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2016-2215
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to describe the incidence, prevalence, risk factors, and prognosis of fatigue, chronic fatigue, and chronic fatigue syndrome in 11- to 15-year-olds. METHODS:A random general population sample (n = 842) of British adolescents and their parents were assessed at baseline and 4 to...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2006-2231
更新日期:2007-03-01 00:00:00
abstract::Medium-chain acyl-coenzyme A dehydrogenase (MCAD) deficiency is the most common disorder of mitochondrial fatty acid oxidation. We report a term male infant who presented at 3 days of age with hypoglycemia, compensated metabolic acidosis, hypocalcemia, and prolonged QTc interval. Pregnancy was complicated by maternal ...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2013-1105
更新日期:2014-06-01 00:00:00
abstract::School nurse practitioners have the competence to participate in providing a broad range of direct primary health care and services to the school-age child. Greater utilization of these specially prepared and highly qualified nurse practitioners as providers of health care in the school is a practical and effective me...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1976-10-01 00:00:00
abstract::Pediatricians regularly care for children who have experienced child maltreatment. Child maltreatment is a risk factor for a broad range of mental health problems. Issues specific to child maltreatment make addressing emotional and behavioral challenges among maltreated children difficult. This clinical report focuses...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-3751
更新日期:2020-02-01 00:00:00
abstract::When a healthy infant dies suddenly and unexpectedly, it is critical to correctly determine if the death was caused by child abuse or neglect. Sudden unexpected infant deaths should be comprehensively investigated, ancillary tests and forensic procedures should be used to more-accurately identify the cause of death, a...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-2076
更新日期:2019-09-01 00:00:00
abstract::Since 1961 the Committee on Nutrition of the American Academy of Pediatrics has recommended that prophylactic vitamin K be administered parenterally to all newborn infants, although the exact requirement for vitamin K in the newborn infant is unknown. There is little information about the vitamin K1 (phylloquinone, pr...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00