Symptoms of hand, foot, and mouth disease in children

Written by Yan Xin Liang
Pediatrics
Updated on April 15, 2025
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Hand, foot, and mouth disease is an acute febrile illness caused by an intestinal virus infection. It is primarily characterized by vesicles or papulovesicular rashes on the hands, feet, mouth, and buttocks. There are over 20 types of intestinal viruses that can cause the disease, with the most common being Coxsackievirus A16 and Enterovirus 71. The main symptoms include recurrent fever, although some cases may not present with fever. There may also be symptoms such as drooling, and vesicles or papulovesicular rashes on the hands, feet, mouth, and buttocks. Additionally, some patients may exhibit lethargy, limb tremors, startle reactions, and vomiting. In severe cases, symptoms can include shortness of breath and coughing up pink frothy sputum, among others.

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How to disinfect hand, foot, and mouth disease?

Hand, foot, and mouth disease is an acute infectious disease caused by a viral infection. It mainly spreads through the respiratory tract, digestive tract, and close contact. Being in contact with a carrier or a child with the disease can result in transmission. It is important to properly handle the infected child's feces and other excretions. Clothes can be soaked in a 3% bleach solution and exposed to sunlight. Keep the room well-ventilated. Other contaminated daily items, such as toys or closely contacted objects like dishware and children's eating utensils, should be disinfected promptly.

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

Hand, foot, and mouth disease is a contagious viral infection primarily characterized by scattered vesicular or papular rashes on the hands, feet, mouth, and buttocks. It is generally a mild condition, and typical symptoms include fever and rash. It can be treated with oral medications and by taking care of oral and skin hygiene, usually healing quickly. Severe cases caused by the EV71 virus can lead to varying degrees of intracranial pressure. In such serious cases, prompt treatment with mannitol and furosemide to reduce intracranial pressure is necessary; corticosteroids may also be needed if required. For children with severe hypoxia, timely correction of oxygen deficiency is crucial, along with intravenous fluids to maintain stable blood pressure, respiration, heart rate, and microcirculation. (Please consult a professional physician for medication guidance and do not self-medicate.)

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Written by Yao Li Qin
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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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home-news-image
Written by Yan Xin Liang
Pediatrics
52sec home-news-image

Symptoms of hand, foot, and mouth disease in children

Hand, foot, and mouth disease is an acute febrile illness caused by an intestinal virus infection. It is primarily characterized by vesicles or papulovesicular rashes on the hands, feet, mouth, and buttocks. There are over 20 types of intestinal viruses that can cause the disease, with the most common being Coxsackievirus A16 and Enterovirus 71. The main symptoms include recurrent fever, although some cases may not present with fever. There may also be symptoms such as drooling, and vesicles or papulovesicular rashes on the hands, feet, mouth, and buttocks. Additionally, some patients may exhibit lethargy, limb tremors, startle reactions, and vomiting. In severe cases, symptoms can include shortness of breath and coughing up pink frothy sputum, among others.

doctor image
home-news-image
Written by Yao Li Qin
Pediatrics
51sec home-news-image

Causes of Hand, Foot, and Mouth Disease

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.