Is hand, foot and mouth disease itchy?

Written by Yan Xin Liang
Pediatrics
Updated on September 10, 2024
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Hand, foot and mouth disease is an infectious disease caused by enteroviruses. There are more than 20 types of enteroviruses that cause hand, foot and mouth disease, among which Coxsackievirus A16 and Enterovirus 71 are the most common. Its main clinical symptoms include mouth pain, decreased appetite, mild fever, and the appearance of small vesicles or small ulcers on the hands, feet, mouth, and other areas. Most infected children can recover in about a week. The rash of hand, foot and mouth disease typically appears on the hands, feet, buttocks, arms, and legs as maculopapular rash, which can later turn into vesicles. These vesicles are surrounded by an inflammatory red halo and contain relatively little fluid. The rash is not itchy. Thus, the rash of hand, foot and mouth disease is unlike other allergic rashes; it does not cause itching or discomfort.

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Written by Yan Xin Liang
Pediatrics
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Hand, foot, and mouth disease is spread through:

Hand, foot, and mouth disease is an infectious disease caused by enteroviruses. There are more than 20 types of enteroviruses that can cause the disease, among which Coxsackievirus A16 and Enterovirus 71 are the most common. It frequently occurs in children under the age of 5 and manifests as mouth pain, loss of appetite, low fever, and small blisters or ulcers on the hands, feet, and mouth. Most affected children can recover within about a week. The main routes of transmission for hand, foot, and mouth disease can include the gastrointestinal tract, as well as respiratory transmission, and close contact such as through saliva, cough droplets, etc. Sharing utensils can also spread the disease.

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Written by Yan Xin Liang
Pediatrics
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How is hand, foot, and mouth disease transmitted?

Hand, foot, and mouth disease is an infectious disease caused by enteroviral infections. There are more than 20 types of enteroviruses that can cause hand, foot, and mouth disease, but the most common are Coxsackievirus A16 and Enterovirus 71. The main clinical symptoms include pain in the mouth, anorexia, low fever, and the appearance of small vesicles or ulcers on the hands, feet, mouth, and other areas. Most children can recover in about a week, but a few may develop serious complications such as myocarditis, pulmonary edema, and aseptic meningitis. The general transmission routes are through the digestive tract, respiratory tract, and close contact, such as through droplets, sharing utensils, and hand-to-mouth contact, etc.

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Written by Li Jiao Yan
Neonatology
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Prevention of Hand, Foot, and Mouth Disease

Hand, foot, and mouth disease is a common contagious exanthematous disease in pediatrics, caused by a viral infection with a certain epidemic nature. Its main modes of transmission include respiratory, digestive tracts, and close contact. During the epidemic, usually in the summer and autumn seasons, it is recommended that parents avoid taking children to public places. If a suspected case is found, timely isolation should be carried out, and close contacts should be quarantined for 7-10 days. Additionally, it's important to maintain good personal hygiene, such as washing hands before eating and after using the toilet, and to keep indoor ventilation in the home. If a child has been in contact with an infection or a suspected case of hand, foot, and mouth disease, it is crucial to monitor the child for any discomfort and check their temperature regularly. If the child feels unwell, take them to the hospital for treatment promptly.

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Written by Yao Li Qin
Pediatrics
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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.

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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.