Hand-foot-and-mouth disease

Background

• Caused by coxsacke virus
• Most frequently in children, but can occur in all age groups

Clinical Features

• Brief prodrome w/ low fever, anorexia, sore mouth
• Oral lesions appear 1-2d later
  • Vesicles on erythematous base
  • Painful
• Hand/foot lesions
  • Red papules that change to gray vesicles

Differential Diagnosis

• Herpangina
• See also Pediatric Rashes

Workup

• None (clinical diagnosis)
  • If unsure, see Pediatric Fever

Management

• No specific therapy for most, self-limited
• Consider Magic Mouthwash if not tolerating PO intake

Disposition

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See Also

• Enteroviral Infections
• Pediatric Rashes