{"id":8307,"date":"2020-04-28T02:38:22","date_gmt":"2020-04-28T05:38:22","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/patologia-de-la-mano-fiebre-aftosa\/"},"modified":"2020-04-30T21:25:57","modified_gmt":"2020-05-01T00:25:57","slug":"pathology-of-the-hand-foot-and-mouth-disease","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-de-la-mano-fiebre-aftosa\/","title":{"rendered":"Pathology of the hand, foot and mouth disease"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-de-la-mano-fiebre-aftosa\/#Histologia-de-mano-fiebre-aftosa\" >Hand histology, FMD<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-de-la-mano-fiebre-aftosa\/#Patologia-de-la-mano-fiebre-aftosa\" >Pathology of the hand, foot and mouth disease<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-de-la-mano-fiebre-aftosa\/#Estudios-especiales-para-la-enfermedad-de-manos-pies-y-boca\" >Special studies for hand, foot and mouth disease.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/patologia-de-la-mano-fiebre-aftosa\/#Diagnostico-diferencial-de-mano-fiebre-aftosa-patologia\" >Differential diagnosis of hand, foot and mouth disease<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<p>Hand, foot, and mouth disease is a viral disease caused by coxsackie virus A16 and enterovirus 71.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Histologia-de-mano-fiebre-aftosa\"><\/span>\n<span class=\"term\" data-term-id=\"128\">Histology<\/span> hand, foot and mouth disease<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hand, foot, and mouth disease is rarely biopsied.<\/p>\n<p>Sections generally show <span class=\"term\" data-term-id=\"496\">acral<\/span> skin with a <span class=\"term\" data-term-id=\"422\">lymphocytic<\/span> <span class=\"term\" data-term-id=\"541\">infiltrate<\/span> which <span class=\"term\" data-term-id=\"542\">infiltrators<\/span> the <span class=\"term\" data-term-id=\"85\">epidermis<\/span> (Figure 1). The infiltrator is associated with <span class=\"term\" data-term-id=\"917\">keratinocytes<\/span> <span class=\"term\" data-term-id=\"13\">apoptosis<\/span> in early injuries (figure 2). Figure 3 shows a high-power view of more established lesions: there is papillary <span class=\"term\" data-term-id=\"52\">dermal<\/span> <span class=\"term\" data-term-id=\"201\">edema<\/span> (lower half of the field), <span class=\"term\" data-term-id=\"846\">epidermal<\/span> <span class=\"term\" data-term-id=\"403\">necrosis<\/span>, <span class=\"term\" data-term-id=\"72\">dyskeratosis<\/span>and <span class=\"term\" data-term-id=\"1038\">intraepidermal<\/span> vesiculation as a consequence of epidermal edema.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Patologia-de-la-mano-fiebre-aftosa\"><\/span>Pathology of the hand, foot and mouth disease<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hand-foot-and-mouth-fig-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2091696-3829547' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hand-foot-and-mouth-fig-1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-2091696.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 1<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hand-foot-and-mouth-figure-2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1164438-5899291' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hand-foot-and-mouth-figure-2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1164438.jpg'>\n<\/div>\n<p class=\"p-small\">Figure 2<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hand-foot-and-mouth-fig-3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6681747-5938337' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hand-foot-and-mouth-fig-3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6681747.jpg'>\n<\/div>\n<p class=\"p-small\">figure 3<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Estudios-especiales-para-la-enfermedad-de-manos-pies-y-boca\"><\/span>Special studies for hand, foot and mouth disease.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"942\">PCR<\/span> Tissue block studies can be performed to identify coxsackievirus A16 and enterovirus 71.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial-de-mano-fiebre-aftosa-patologia\"><\/span>\n<span class=\"term\" data-term-id=\"813\">Differential diagnosis<\/span> hand, foot and mouth disease <span class=\"term\" data-term-id=\"223\">pathology<\/span><br \/>\n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span class=\"term\" data-term-id=\"90\">Erythema<\/span> Multiforme: Early lesions of hand, foot, and mouth disease can be very similar to erythema multiforme. The clinical correlation can be very useful.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>La enfermedad de manos, pies y boca es una enfermedad viral causada por el virus coxsackie A16 y el enterovirus 71. Histolog\u00eda de mano, fiebre aftosa La enfermedad de manos,&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[205],"class_list":["post-8307","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones","tag-patologia"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8307","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=8307"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8307\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8307"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8307"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8307"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}