Causes of Hand, Foot, and Mouth Disease

Written by Yao Li Qin
Pediatrics
Updated on December 12, 2024
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Hand, foot, and mouth disease is a rash illness characterized by scattered papules and vesicles on the hands, feet, mouth, and buttocks, caused by an enterovirus infection. It is a contagious disease caused by a viral infection, specifically by Coxsackievirus A16 and Enterovirus 71, which are part of the enterovirus group. Other Coxsackie enteroviruses can also cause hand, foot, and mouth disease. Common enterovirus infections can also lead to hand, foot, and mouth disease. This means that children who have had hand, foot, and mouth disease can potentially get it again, and this is important knowledge for everyone to understand.

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Written by Yao Li Qin
Pediatrics
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Does hand, foot, and mouth disease cause fever?

Hand, foot, and mouth disease is a contagious childhood exanthem caused by an intestinal virus infection. The primary symptoms of most hand, foot, and mouth diseases include fever, followed by rashes on the hands, feet, mouth, and buttocks, as well as vesicles in the throat. However, not all children with the disease necessarily experience continuous fever or any fever at all. Some only show symptoms after coming into contact with an infected person, with rashes on the hands, feet, mouth, and buttocks, and vesicles in the throat. In such cases, it is still considered hand, foot, and mouth disease, and fever is not a requisite for diagnosis. Thus, the presence of fever should not be solely relied upon for diagnosing the disease.

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Written by Yan Xin Liang
Pediatrics
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Does hand, foot and mouth disease hurt?

Hand, foot, and mouth disease is caused by an intestinal virus, mainly manifested in children as blisters on the hands, feet, mouth, and buttocks. Some cases may involve fever, while others may have no fever or only mild, low-grade fever. Oral and pharyngeal blisters are quite common, causing oral pain and discomfort. Many children who contract hand, foot, and mouth disease experience a decrease in appetite, which is related to oral and pharyngeal blisters causing pain that affects swallowing and eating.

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Written by Yao Li Qin
Pediatrics
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Is hand, foot, and mouth disease dangerous?

Hand, foot, and mouth disease is a common pediatric disease caused by an intestinal viral infection, characterized by fever and rash, with severities ranging from mild to severe. If caused by a typical enterovirus infection, hand, foot, and mouth disease generally recovers quickly with antiviral treatment and proper care of the mouth and skin. However, if caused by an EV71 virus infection, it poses certain risks. This is because the EV71 virus can affect the central nervous system, leading to symptoms such as increased intracranial pressure and respiratory and circulatory dysfunction. These complications can result in respiratory failure and cardiac failure, which are severe manifestations. Therefore, hand, foot, and mouth disease caused by the EV71 virus carries certain risks. Thus, it is important to administer a vaccine made from the EV71 virus to children to prevent severe hand, foot, and mouth disease.

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Written by Yao Li Qin
Pediatrics
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What should I do about hand, foot, and mouth disease?

Hand, foot, and mouth disease is a common exanthematous infectious disease in children caused by enterovirus infections. Most cases are mild to moderate and can be treated at home with oral medication. Doctors generally prescribe antiviral medications, and if the child's temperature exceeds 38.5 degrees Celsius, antipyretic medications are also required. If there is discomfort in the throat, some medications can be sprayed to relieve local discomfort. For severe cases, such as those caused by EV71 virus infection, it is crucial to be vigilant. This type of infection can lead to symptoms involving the nervous system and may rapidly progress to severe conditions. Therefore, if it is confirmed that the hand, foot, and mouth disease is caused by EV71 infection and the child's condition is serious, hospitalization should be promptly sought. Additionally, for children under three years old, it's important to actively vaccinate against hand, foot, and mouth disease to prevent illness caused by EV71 virus infection.

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Written by Yao Li Qin
Pediatrics
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Characteristics of hand, foot, and mouth disease rash

Hand, foot, and mouth disease is a rash disease caused by an intestinal virus infection, characterized by scattered maculopapular and vesicular rashes on the hands, feet, buttocks, and other areas. Typically, small vesicles appear on the oral mucosa, or they may already have ruptured into shallow ulcers, primarily located on the tongue, buccal mucosa, palate, and inner lips. Subsequently, rashes appear on the hands and feet, most commonly as maculopapules, which then develop into vesiculopapules about three to seven millimeters in size. The vesicles have a relatively thick covering and are surrounded by reddened skin, predominantly located at the extremities. Sometimes, they may extend to the arms, legs, buttocks, or perineal area. The distribution of the rash is centrifugal, with the number of lesions varying from a few to dozens. Generally, the lesions absorb on their own within two to three days without desquamation, scarring, or pigmentation. The vesicles and ulcers in the mouth mostly heal on their own within a week.