{Reference Type}: Journal Article {Title}: Clinical Features and Characteristics of Hand, Foot, and Mouth Disease Caused by Recent Coxsackievirus A6: Five Cases in Japan from 2019 to 2022. {Author}: Naomiya K;Ito T;Saito A;Igarashi T;Nakayama T;Katayama K;Ishikura K; {Journal}: Infect Dis Rep {Volume}: 16 {Issue}: 4 {Year}: 2024 Jun 29 暂无{DOI}: 10.3390/idr16040044 {Abstract}: Hand, foot, and mouth disease (HFMD) is a common infectious disease caused by enteroviruses. Coxsackievirus A6 (CV-A6)-associated HFMD has recently emerged as a predominant disease worldwide. Here, we describe five HFMD cases caused by CV-A6 in Japan from 2019 to 2022. All clinical courses were not severe and were self-limited, and the skin exanthema with vesicles differed from that in classical HFMD. Phylogenetic analysis showed that the major epidemic strain cluster of CV-A6 was formed independently in 2011, and our latest CV-A6 strains in Japan were detected within this cluster. The five cases described in this report indicate the recent shift in the predominant and continuous disease manifestation of CV-A6-associated HFMD.