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Figure 1: Clinical presentation of atypical hand-foot-mouth disease with the combination of early nail changes and vesicles. (a) Cluster of oozing vesicles involving the perioral area and lips; (b) diffuse involvement of the dorsal surface of the right hand, with acute thumb paronychia and relative sparing of the remaining fingernails; (c) separated crops of vesicular lesions are scattered on the knees. (d) acute paronychia, lateral onychomadesis, Beau's lines of the first right fingernail, associated with vesicular lesions on the lateral surfaces of the same digit

Figure 1: Clinical presentation of atypical hand-foot-mouth disease with the combination of early nail changes and vesicles. (a) Cluster of oozing vesicles involving the perioral area and lips; (b) diffuse involvement of the dorsal surface of the right hand, with acute thumb paronychia and relative sparing of the remaining fingernails; (c) separated crops of vesicular lesions are scattered on the knees. (d) acute paronychia, lateral onychomadesis, Beau's lines of the first right fingernail, associated with vesicular lesions on the lateral surfaces of the same digit