Hand-foot-and-mouth disease
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