Revue médicale de Liège
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Revue médicale de Liège · Oct 2003
Review[Hand, foot and mouth disease, a not so benign affection: clinical reminder and potential complications].
Hand-foot-and-mouth disease is an infection appearing in epidemics and due, in most cases, to Coxsackie-virus A16 and/or Enterovirus 71 or, less often, to other Coxsackie-virus serotypes. The symptomatology mostly consists in vesicular eruption of the anterior part of the buccal mucosa as well as of hands and feet. Its evolution, although often benign, can include cardiopulmonary and neurological complications. The latter complications require a quickly detection and treatment, and prevention of virus transmission to other people must be adequate.
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Morton's neuroma is a frequent cause of pain in the forefoot that commonly occurs in the third intermetatarsal space. It is a type of nerve compression syndrome which involves the common digital plantar nerves. ⋯ Imaging procedures may be useful to diagnose an atypical case or postoperative recurrence. Conservative treatments are successful in most cases, but when they fail surgery may be considered.