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A 14-month-old child presented with a 4-day history of diaper rash consisting of round erosions with a thin crust on an erythematous background symmetrically distributed around the anal orifice and crops of perilesional vesicles (figure 1). During the examination, further lesions were identified on the extremities and hand-foot-mouth disease (HFMD) caused by coxsackie virus A6 (CVA6) was confirmed on serology.
Contributors AP is the Director of the Dermatology Unit Service at Sant’Orsola-Malpighi Hospital in Bologna and Clinical Professor in Dermatology at Bologna University. IN is the Medical Director of the Pediatric Dermatology Outpatient Service. AS, MAC, ML and AV are residents in dermatology at Bologna University.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.