Hand, foot, and mouth disease is common in infants and children younger than 5 years old. Most children have mild symptoms for 7 to 10 days. Children often get a fever and other flu-like symptoms three to six days after they catch the virus. Symptoms may include:. One or two days after the fever starts, your child may get painful mouth sores herpangina. These sores usually start as small red spots, often in the back of their mouth, that blister and can become painful.
Your child may get a skin rash on the palms of the hands and soles of the feet. It may also show up on the knees, elbows, buttocks, or genital area. The rash usually looks like flat, red spots, sometimes with blisters. Fluid in the blister and the resulting scab that forms as the blister heals may contain the virus that causes hand, foot, and mouth disease.
Often the infection is mild, and symptoms can be treated at home. 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 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. No urine in more than 8 hours, dark urine, very dry mouth and no tears. Bellevue Everett Federal Way Seattle. Specific immunity can occur, but a second episode is possible from a different strain of Coxsackie virus. There is no specific treatment. Treatment is aimed at fever control and maintaining good oral hydration.
The illness is typically mild, complications are rare. More serious infections have been seen recently with a certain strain of Coxsackie viral infection in Indonesia. Children who feel ill or have a fever should be excluded from group settings until the fever is gone and the child feels well. Thorough hand washing and care with diaper changing practices is important as well. There is debate as to any congenital disorders related to Coxsackie viral infections and pregnancy. Pregnant women should consult their obstetrician for further information.
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