신경학적 증상을 동반한 수족구병 2례

Two Cases of Hand-Foot-Mouth Disease with Neurologic Manifestations

  • 박기경 (가톨릭대학교 의과대학 소아과학교실) ;
  • 최성동 (가톨릭대학교 의과대학 소아과학교실) ;
  • 정승연 (가톨릭대학교 의과대학 소아과학교실) ;
  • 서병규 (가톨릭대학교 의과대학 소아과학교실) ;
  • 강진한 (가톨릭대학교 의과대학 소아과학교실)
  • Park, Ki Kung (Department of Pediatrics, Catholic University Medical College) ;
  • Choi, Sung Dong (Department of Pediatrics, Catholic University Medical College) ;
  • Chung, Seung Yun (Department of Pediatrics, Catholic University Medical College) ;
  • Suh, Byung Kyu (Department of Pediatrics, Catholic University Medical College) ;
  • Kang, Jin Han (Department of Pediatrics, Catholic University Medical College)
  • 발행 : 1997.11.20

초록

Hand-Foot-Mouth disease, which has a various enanthem-exanthem complex at the tongue, buccal mucosa, hands and feets and buttock area with febrile illness, is usually caused by Coxscakie virus type A(16). Generally, this disease shows self limited course and good prognosis without neurologic manifestations. However, enterovirus 71, which was newly discovered and reported in 1974, can cause the striking features of Hand-Foot-Mouth disease outbreaks and has neuropathogenic potentials of polio-like paralytic illness including aseptic meningitis, meningoencephalitis and respiratory disease. We experienced a case of Hand-Foot-Mouth disease with polyradiculitis manifestations, and a case of Hand-Foot-Mouth disease with meningoencephalitis. Therfore, we report these cases with brief review of related literatures.

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