Hand, Foot and Mouth disease, the name of the disease describes the condition- there are lesions in the mouth and on the hands and feet.

Robinson, first decribed this syndrome in 1957 and its cause as Coxsackievirus A-16. Subsequent reports have confirmed these observations and added Coxsackievirus A-5 and A-10 as other etiologic agents.

For a long time it was doubted that nonpolio enteroviruses could give rise to any more serious neurologic disease than aseptic meningitis. Although the evidence is now clear that some types of Coxsackieviruses may rarely cause paralytic disease resembling poliomyelitis, this appears to be very rare.

We report two cases of hand, foot and mouth disease accompanied by paralysis in summer 1990.