Central serous retinopathy and hand-foot-mouth disease: coincidence or causation?

Taylor, Selina, Khan, Maureen, Zaidi, Shams, Alvi, Umair, and Fatima, Yaqoot (2018) Central serous retinopathy and hand-foot-mouth disease: coincidence or causation? International Medical Case Reports Journal, 11. pp. 277-282.

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Introduction: The clinical and pathological correlation between hand-foot-mouth disease (HIND) and ocular complications has not yet been established. However, individual case reports indicate a trend that may be the emergence of a new burden of the previous self-limiting virus. This virus is particularly prevalent in childcare centers and poses an infectious disease risk for this workplace.

Objectives: The primary objective of this case report is to describe an unusual clinical record of a patient who developed central serous retinopathy while unwell with HFMD. Discussion of management strategies for this workplace, its staff, and visitors is also included.

Methods: This was an observational case report that was identified and reported retrospectively. For comparison, a search of the literature to identify similar ocular complications of HFMD was also undertaken.

Results: from this search, in addition to international data and prevention and management strategies are also provided. Results: A total of 13 individual case reports with ocular associations, including this clinical record, were identified in the literature worldwide. The median age was 33 years, and three patients (23%) were female. No treatment or management guidelines for ocular complications of HFMD have been identified.

Conclusion: Severe and potentially life-threatening complications of a seemingly harmless childhood illness are represented sporadically in the literature. The requirement for research and evaluation into this emerging occupational hazard area is necessary for improved prevention, management, and treatment strategies to be developed.

Item ID: 56066
Item Type: Article (Research - C1)
ISSN: 1179-142X
Keywords: hand-foot-mouth disease, hand-foot-mouth, ocular complications, central serous retinopathy, childcare center
Copyright Information: This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License.
Date Deposited: 07 Nov 2018 09:29
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3212 Ophthalmology and optometry > 321299 Ophthalmology and optometry not elsewhere classified @ 50%
42 HEALTH SCIENCES > 4206 Public health > 420601 Community child health @ 50%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920117 Skin and Related Disorders @ 100%
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