Author affiliations: National Institute of Infectious Diseases, Tokyo, Japan (T. Fujimoto, K. Yamashita, N. Hanaoka, N. Okabe, H. Yoshida, Y. Yasui, H. Shimizu); Shimane Prefectural Institute of Public Health and Environmental Science, Shimane, Japan (S. Iizuka); Hyogo Prefectural Institute of Public Health and Consumer Sciences, Hyogo, Japan (M. Enomoto); Hiroshima City Institute of Public Health, Hiroshima, Japan (K. Abe, Y. Fujii, H. Tanaka, M. Yamamoto); Kobayashi Pediatric Clinic, Shizuoka, Japan (M. Kobayashi)
Figure. Typical clinical manifestations of hand, foot, and mouth disease associated with coxsackievirus CVA6 in Shizuoka, Japan, June–July, 2011. A) Hand and arm of a 2.5-year-old boy; B) foot and C) buttocks of a 6-year-old boy; D) nail matrix of a 20-month old boy.
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