In January to February 2014, 16 hand, foot and mouth disease (HFMD) cases were identified in Edinburgh, United Kingdom. All presented with atypical features, with most (n=13) resembling eczema herpeticum or chickenpox. Coxsackievirus A6 (CV-A6) was identified in all the typed cases (n=11). As atypical forms of HFMD associated with CV-A6 are likely to emerge throughout Europe, clinicians should be alert to unusual clinical presentations of HFMD and virologists aware of effective diagnostic testing and enterovirus typing methods.

Background Palmoplantar pustulosis (PPP) is a rare, debilitating, chronic inflammatory skin disease that affects the hands and feet. Clinical, immunological and genetic findings suggest a pathogenic role for interleukin (IL)-1. Objectives To determine whether anakinra (an IL-1 receptor antagonist) delivers therapeutic benefit in PPP.

Letter to Editor, Thank you for giving us the opportunity to read the recently published short report entitled "onset of vitiligo in a psoriasis patient on ixekizumab" by Marasca et al. in the Journal of Dermatological Therapy. We

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