Hand, Foot and Mouth disease


Clinical

Coxsackievirus Painful Yellow lesion with red Halo. Thanks to SciencePhotoLibrary
  • 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.