Daily Bolus of LR: Hand Foot and Mouth Disease

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June 22, 2011 by dailybolusoflr

Hand Foot and Mouth Disease (HFMD)

A resurgence being seen in day cares. .

Who gets it?

· Typically infants and children under the age of 10

What is it?

· HFMD is caused by a viral infection in the group of enteroviruses.

· The most common virus is Coxsackievirus A16

· It is NOT the same and foot and mouth disease (or hoof and mouth disease), which is an animal disease (humans do not get this)

How do they present?

· Typically begins with a fever, poor appetite, malaise and a sore throat

· Painful oral lesions may be seen about 1-2 days after the fever. They typically begin as blisters and then ulcerate. Most commonly seen on the tongue, gums, and inside of the cheeks.

· Concurrent development of a NON ITCHY rash. Most commonly located on the palms and soles, but may be seen on the buttocks and genitals.

· A person with HFMD may have only the rash or only the mouth sores.

What do you do?

· Patients should be treated symptomatically, but in younger children the goal is often aimed at decrease the oral pain so that they can eat and stay well hydrated.



Linda Regan, MD FACEP
Program Director, Emergency Medicine Residency
Johns Hopkins Medical Institutions

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