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More about Hand-Foot-and-Mouth Disease:
Definition Causes and symptoms Diagnosis Treatment Alternative treatment Prognosis Prevention Resources |
Hand-foot-and-mouth disease is very common among young children, and often occurs in clusters of children who are in daycare together. It is spread when poor hand-washing after a diaper change or contact with saliva (drool) allows the virus to be passed from one child to another.
Within about four to six days of acquiring the virus, an infected child may develop a relatively low-grade fever, ranging from 99–102°F (37.2–38.9°C). Other symptoms include fatigue, loss of energy, decreased appetite, and a sore sensation in the mouth that may interfere with feeding. After one to two days, fluid-filled bumps (vesicles) appear on the inside of the mouth, along the surface of the tongue, on the roof of the mouth, and on the insides of the cheeks. These are tiny blisters, about 3–7 mm in diameter. Eventually, they may appear on the palms of the hands and on the soles of the feet. Occasionally, these vesicles may occur in the diaper region.
The vesicles in the mouth cause the majority of discomfort, and the child may refuse to eat or drink due to pain. This phase usually lasts for an average of a week. As long as the bumps have clear fluid within them, the disease is at its most contagious. The fluid within the vesicles contains large quantities of the causative viruses. Extra care should be taken to avoid contact with this fluid.
— Ken R. Wells; Rosalyn S. Carson-DeWitt, MD
