Doctor's Notes on Hand, Foot, and Mouth Disease
Hand, foot, and mouth disease is a common viral illness that most often occurs in the spring and fall and is most frequently seen in young children, infants, and toddlers.
Initial symptoms of hand, foot, and mouth disease include fever and general malaise (poor appetite, aches and pains, etc.). These symptoms last about one to two days before a blister-like rash develops on the palms of the hands, soles of the feet, and in the mouth. The blisters may develop on the gums, inner cheeks, and tongue, and may cause mouth pain and a sore throat. Patients often drool and avoid swallowing and may refuse to drink or eat because of the discomfort. Very young infants may become dehydrated due to the refusal to drink.
Must Read Articles:
CoxsackievirusCoxsackievirus infection is spread from person to person when an infected person does not cover their mouth when coughing or sneezing or touches someone with unwashed hands. Though most cases of coxsackievirus infection are mild, with symptoms including diarrhea and sore throat, the infection may also cause meningitis, encephalitis, chest pain, and myopericarditis. Infection in newborns may be deadly. There is no specific treatment for coxsackievirus, though acetaminophen and ibuprofen may be used to treat the symptoms.
Fever in ChildrenFever is defined as a rectal temperature over 100.4 F or 38 C. Fever isn't life-threatening unless it is persistently high - greater than a 107 F rectal temperature. Fever is usually caused by an infection. Treatment focuses on controlling the temperature, preventing dehydration, and monitoring for serious illness.
Rash (Causes, Types, and Cures)A rash is a visible skin outbreak. Examples of noninfectious rashes include eczema, psoriasis, contact dermatitis, seborrheic dermatitis, rosacea, hives, and allergic dermatitis. Types of infectious rashes include ringworm, impetigo, scabies, herpes, chickenpox, and shingles. Rashes may be caused by fungi, viruses, bacteria, and parasites. Treatment depends upon the type of rash.
Sore ThroatSore throats are generally named for the anatomical site affected, such as: the pharynx, tonsils, adenoids, larynx, and epiglottis. Sore throat treatment depends on the cause, infection, viral, or fungal.
Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.