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

Authors Taylor S, Khan M, Zaidi S, Alvi U, Fatima Y

Received 22 July 2018

Accepted for publication 7 September 2018

Published 18 October 2018 Volume 2018:11 Pages 277—282


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

Selina Taylor,1 Maureen Khan,2 Shams Zaidi,3 Umair Alvi,4 Yaqoot Fatima1

1Centre for Rural and Remote Health, James Cook University, Mount Isa, QLD, Australia; 2Sunshine Coast University Hospital, Sunshine Coast, QLD, Australia; 3Mackay Hospital and Health Service, Mackay, QLD, Australia; 4Cairns Hospital, Cairns, QLD, Australia

Introduction: The clinical and pathological correlation between hand–foot–mouth disease (HFMD) 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.

Keywords: hand–foot–mouth disease, hand–foot–mouth, ocular complications, central serous retinopathy, childcare center

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