Cabrerizo, MariaDe Miguel, TArmada, AMartínez-Risco, RPousa Ortega, ÁnxelaTrallero, Gloria2020-12-042020-12-042010-12Epidemiol Infect . 2010 Dec;138(12):1775-8.0950-2688http://hdl.handle.net/20.500.12105/11499Few reports exist regarding the association between onychomadesis and an enterovirus infection presenting clinically as hand, foot, and mouth disease (HFMD). In February 2009, an outbreak of HFMD occurred in a Spanish nursery school, followed by onychomadesis 36-69 days later. Twelve of 17 children with HFMD developed nail shedding; enterovirus was detected in stool samples from eight (47%) of the 17. However, in only three of the children could an enterovirus serotype coxsackievirus B1 be identified. The epidemiological results of this study confirm onychomadesis as a complication in HFMD. In future outbreaks, molecular characterization of enterovirus from appropriate clinical samples should be studied.engAMhttp://creativecommons.org/licenses/by-nc-sa/4.0/Disease OutbreaksAdultChild, PreschoolCluster AnalysisEnterovirus B, HumanFecesOnychomadesis after a hand, foot, and mouth disease outbreak in Spain, 2009.Atribución-NoComercial-CompartirIgual 4.0 Internacional20854714138121775-810.1017/S0950268810002219Epidemiology and infectionopen access