Hand, Foot, and Mouth Disease
Hand, foot, and mouth disease (HFMD) is an enteroviral illness, typically of childhood, which causes painful vesicular lesions in the mouth, on the palms, and on the soles of the feet. HFMD is most commonly caused by coxsackievirus, though a more severe form can be caused by enterovirus 71. Typical HFMD is self-resolving within 7–10 days; however, physicians may provide supportive care and symptomatic relief in the form of oral anesthetics. After symptoms have resolved, patients may continue shedding viral particles for up to 5 weeks so contact precautions and good hygiene practices are recommended.
KeywordsHand, foot, and mouth disease HFMD Coxsackie Enterovirus Coxsackievirus A6 A16 Enterovirus 71 Fecal–oral transmission Pediatric Vesicles Virus Prodromal symptoms Malaise Fever Symptomatic relief Self limiting
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