Hand, Foot and Mouth disease
- Coxsackie virus (more serious Enteroviuus clusters in Asia)
- Person to person spread.
- Max children 1 - 4 years (common up to 10 years).
- Sores in mouth, rashes on hands & feet and buttocks.
- "Textbook" vesicles occur at junction of hard and soft skin (palm, sole/ankle area).
- Commonest cause mouth sores (painful, small yellow sores, red halo) children.
- Painful eating then hand rash.
- May have low fever, anorexia, sore throat, abdo. pain for 7 days.
- Usually mild but beware dehydration and occasional arthropathy.
- Clinical diagnosis.
- Rarely progress to encephalitis / transverse myelitis (flaccid - so do neuro exam).
- Hydration, analgesia (mouth ulcers), control pyrexia.
- Keep from school only if ill (may attend school if rash alone).
Content by Dr. Íomhar O' Sullivan 09/06/2011. Last review Dr. ÍOS 5/05/15.