<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732021000300249</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v37i3.12842</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Doença mão-pé-boca no adulto: apresentação típica em idade atípica]]></article-title>
<article-title xml:lang="en"><![CDATA[Hand-foot-mouth disease in adults: typical presentation at an atypical age]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arruda]]></surname>
<given-names><![CDATA[Mara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pacheco]]></surname>
<given-names><![CDATA[Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meneses]]></surname>
<given-names><![CDATA[Joana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mota]]></surname>
<given-names><![CDATA[Maria Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Comba]]></surname>
<given-names><![CDATA[Rita Santa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Saúde da Praia da Vitória Unidade de Saúde da Ilha Terceira ]]></institution>
<addr-line><![CDATA[Praia da Vitória ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Saúde de Angra do Heroísmo Unidade de Saúde da Ilha Terceira ]]></institution>
<addr-line><![CDATA[Angra do Heroísmo ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro de Saúde da Praia da Vitória Unidade de Saúde da Ilha Terceira ]]></institution>
<addr-line><![CDATA[Praia da Vitória ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>37</volume>
<numero>3</numero>
<fpage>249</fpage>
<lpage>255</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732021000300249&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732021000300249&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732021000300249&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A doença mão-pé-boca (DMPB) é uma infeção aguda autolimitada, altamente contagiosa, de etiologia vírica, que ocorre sobretudo em crianças. O quadro clínico típico caracteriza-se pelo aparecimento de um enantema oral doloroso, seguido de lesões cutâneas nas palmas das mãos e plantas dos pés, de morfologia, tamanho e cor variáveis. O seu diagnóstico é sobretudo clínico, o tratamento sintomático e o prognóstico é, na maioria dos casos, favorável. O objetivo deste artigo é relatar um caso de DMPB num indivíduo adulto, alertando para a possibilidade deste diagnóstico nesta faixa etária.  Descrição do caso:  Apresenta-se o caso de um homem de 35 anos, com antecedentes de obesidade, rinite alérgica e história de varicela na infância, que recorreu à sua médica de família por pápulas pruriginosas nas palmas das mãos bilateralmente, associadas a odinofagia ligeira. Referia também ter estado em casa a cuidar do filho de 15 meses, com diagnóstico de DMPB, há cerca de sete dias. Assumiu-se o diagnóstico clínico de DMPB e foi tratado de forma sintomática. Dois dias depois regressou por extensão do exantema às plantas dos pés e à região perioral, tendo sido mantidos os cuidados. Na reavaliação, uma semana depois, apresentava descamação da pele das palmas das mãos e plantas dos pés e onicomadese das unhas das mãos e dos pés, sem surgimento de novas lesões. Considerou-se o quadro clínico em resolução e foram explicadas medidas de suporte e prevenção de contágio e recorrência.  Comentário: A DMPB ocorre de forma esporádica em adultos. Nesta faixa etária, a doença acomete mais frequentemente indivíduos do sexo masculino e a atopia é considerada um fator de risco. O curso da doença é maioritariamente autolimitado, com resolução em sete a dez dias, sendo suficiente o tratamento de suporte. Apesar de raras, em determinadas populações as complicações associadas à DMPB podem condicionar risco de vida, o que juntamente com a sua elevada contagiosidade implica uma atitude clínica atenta e um diagnóstico precoce para prevenção da sua disseminação. Assim, perante um doente adulto que apresente início abrupto de exantema maculopapular das palmas das mãos e plantas dos pés, o diagnóstico de DPMB deve ser considerado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Hand-foot-mouth disease (HFMD) is a self-limited, highly contagious, acute viral infection that occurs mainly in children. The typical clinical presentation is characterized by the appearance of painful oral enanthema, followed by cutaneous lesions on the palms and soles, of different morphology, size, and color. Its diagnosis is mainly clinical, the treatment is symptomatic, and the prognosis is, in most cases, favorable. The purpose of this article is to report a case of HFMD in an adult, alerting to the possibility of this diagnosis in this age group.  Case description:  We present the case of a 35-year-old man with a history of obesity, allergic rhinitis, and varicella in his childhood, who presented to his family doctor with symptoms of pruritic papules on both hands and odynophagia. He also mentioned that he had been taking care of his 15-month-old son at home diagnosed with HFMD seven days before. A clinical diagnosis of HFMD was considered and he was treated symptomatically. Two days later, the exanthema extended to the feet soles and perioral region, and a week later the skin started to peel out, with the nails revealing onychomadesis. We assumed the disease was in remission and maintained supportive and prevention measures.  Comments:  HFMD occurs sporadically in adults. In this age group, the disease affects more often males, and atopy is considered a risk factor for the onset of the disease in adults. The course of the disease is mostly self-limited, resolving in seven to ten days, being symptomatic treatment enough. Although rare, in certain populations, complications associated with HFMD can be life-threatening, which, associated with its high contagiousness, implies an attentive clinical attitude and an early diagnosis to prevent its spread. Thus, in the presence of an adult patient with an abrupt onset of maculopapular rash on the palms and soles, the diagnosis of DPMB should be considered.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Doença mão-pé-boca]]></kwd>
<kwd lng="pt"><![CDATA[Exantema viral]]></kwd>
<kwd lng="pt"><![CDATA[Adulto imunocompetente]]></kwd>
<kwd lng="en"><![CDATA[Hand-foot-mouth disease]]></kwd>
<kwd lng="en"><![CDATA[Viral rash]]></kwd>
<kwd lng="en"><![CDATA[Immunocompetent adult]]></kwd>
</kwd-group>
</article-meta>
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<person-group person-group-type="author">
<name>
<surname><![CDATA[Dunmire]]></surname>
<given-names><![CDATA[SK]]></given-names>
</name>
<name>
<surname><![CDATA[Hogquist]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
<name>
<surname><![CDATA[Balfour]]></surname>
<given-names><![CDATA[HH]]></given-names>
</name>
</person-group>
<source><![CDATA[Infectious mononucleosis]]></source>
<year>2015</year>
<volume>390</volume>
<page-range>211-40</page-range><publisher-name><![CDATA[Curr Top Microbiol Immunol]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
