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