Hand-foot-and-mouth disease: Difference between revisions
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==Background== | ==Background== | ||
*Caused by | *Caused by coxsackie virus | ||
*Most frequently in children, but can occur in all age groups | *Most frequently in children, but can occur in all age groups | ||
==Clinical Features== | ==Clinical Features== | ||
[[File:Coxsackie.jpg||thumb|alt=Hand lesions coxsackie virus.|Hand lesions coxsackie virus]] | [[File:Coxsackie.jpg||thumb|alt=Hand lesions coxsackie virus.|Hand lesions coxsackie virus]] | ||
[[File:Coxsackie_2.jpg||thumb|alt=Hand lesions coxsackie virus.|Hand lesions coxsackie virus]] | |||
*Brief prodrome w/ low fever, anorexia, sore mouth | *Brief prodrome w/ low fever, anorexia, sore mouth | ||
*Oral lesions appear 1-2d later | *Oral lesions appear 1-2d later | ||
Revision as of 13:57, 28 April 2014
Background
- Caused by coxsackie 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
- NSAIDS and cool liquids for pain
- Encourage good hand hygiene to prevent spread
Disposition
- Home/Outpatient
- Resolves after 7–10 days