You can’t change the past or the present, but you can change the future.

Hand-Foot-And-Mouth Disease (HFMD)

Disponible En Espanol


Definition:

  • A viral infection that causes mouth ulcers (sores)
  • Most child also get tiny blisters on the hands and feet
  •  

Symptoms

  • Small painful ulcers in the mouth. Look for them on the tongue and sides of mouth. 100% of children with HFMD have these.
  • Small, thick-walled water blisters OR red spots on the hands and feet. Occurs on palms, soles, and webs of the fingers and toes. This happens in 70% of children.
  • 1 to 5 water blisters per hand or foot
  • Small blisters or red spots on the buttocks (30%)
  • Low-grade fever less than 102° F (39° C)
  • Mainly occurs in children age 6 months to 4 years

Cause

  • Coxsackie A-16 virus
  • Not related to animal disease

Severe Form of Hand Foot and Mouth Disease (HFMD)

  • In 2012, a severe form of HFMD occurred in much of the world. It’s caused by a new Coxsackie A6 virus.
  • The rash spreads to the arms, legs and face (but not the trunk). The rash is made up of many small blisters.
  • Children with such a severe rash usually need to be seen. Reason: To confirm the diagnosis. Exception: They were exposed to HFMD within the last 7 days.
  • Treatment is the same. Drink enough fluids to prevent dehydration.
  • Peeling of the fingers and toes is common. It looks bad but is harmless. It happens at 1 to 2 weeks. Use a moisturizing cream on the raw skin.
  • Some fingernails and toenails may fall off. It occurs in 4% of severe cases. It happens at 3 to 6 weeks out. Trim them if they catch on things.
  • Fingernails grow back by 3 to 6 months and toenails by 9 to 12 months. They will look normal.

Return to School

  • Can return to child care or school after the fever is gone. Most often, this takes 2 to 3 days.

Disclaimer

The information contained in these topics is not intended nor implied to be a substitute for professional medical advice, it is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Talk with your healthcare provider about any questions you may have regarding a medical condition. Nothing contained in these topics is intended to be used for medical diagnosis or treatment.

  • Not a Substitute - The information and materials in Pediatric HouseCalls Symptom Checker should not be used as a substitute for the care and knowledge that your physician can provide to you.
  • Supplement - The information and materials presented here in Pediatric HouseCalls Symptom Checker are meant to supplement the information that you obtain from your physician. If there is a disagreement between the information presented herein and what your physician has told you -- it is more likely that your physician is correct. He or she has the benefit of knowing your child's medical problems.
  • Limitations - You should recognize that the information and materials presented here in Pediatric HouseCalls Symptom Checker have the following limitations, in comparison to being examined by your own physician:
    • You can have a conversation with your child's doctor.
    • Your child's doctor can perform a physical examination and any necessary tests.
    • Your child could have an underlying medical problem that requires a physician to detect.
    • If your child is taking medications, they could influence how he experiences various symptoms.

If you think that your child is having a medical emergency, call 911 or the number for the local emergency ambulance service NOW!

And when in doubt, call your child's doctor NOW or go to the closest emergency department.

The search for nearby emergency and urgent care facilities is based upon Google search parameters. You will get results based on how facilities manage their website information.

By using this website, you accept the information provided herein "AS IS." Neither publishers nor the providers of the information contained herein will have any liability to you arising out of your use of the information contained herein or make any expressed or implied warranty regarding the accuracy, content, completeness, reliability, or efficacy of the information contained within this website.