Coxsackievirus A6 and hand, foot, and mouth disease, Finland.Emerg Infect Dis. 2009 Sep; 15(9):1485-8.EI
During fall 2008, an outbreak of hand, foot, and mouth disease (HFMD) with onychomadesis (nail shedding) as a common feature occurred in Finland. We identified an unusual enterovirus type, coxsackievirus A6 (CVA6), as the causative agent. CVA6 infections may be emerging as a new and major cause of epidemic HFMD.