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.

http://www.cdc.gov/ncidod/dvrd/revb/enterovirus/hfhf.htm

<http://www.cdc.gov/ncidod/dvrd/revb/enterovirus/hfhf.htm>

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

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