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Hand, Foot, and Mouth Disease, Pediatric

Ross Newman, DO, MHPE Reviewed 10/2018
 


BASICS

DESCRIPTION

Hand, foot, and mouth disease is a viral illness with the characteristic clinical features of the following: 
  • Vesiculoulcerative stomatitis

  • Papular or vesicular exanthem on the hands a...

DIAGNOSIS

HISTORY

  • History of ill contacts

    • Family members or close contacts are often similarly affected.

    • Incubation period 3 to 6 days

  • Any fever, pain, or other symptoms

    • A mild prodrome occasionally preced...

TREATMENT

GENERAL MEASURES

  • Hand, foot, and mouth disease is usually self-limited and uncomplicated, resolving within 7 to 10 days.

  • No specific therapy is indicated or usually necessary. Most cases are m...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Small children must be followed closely for signs of dehydration. 

DIET

Dietary adjustments often improve oral intake from painful oral lesions and prevent or relie...

ADDITIONAL READING

  • American Academy of Pediatrics. Enterovirus (nonpoliovirus). In: Kimberlin DW, Brady MT, Jackson MA, et al, eds. Red Book: 2015 Report of the Committee on Infectious Diseases. Itas...

CODES

ICD9

  • 074.3 Hand, foot, and mouth disease

  • 079.2 Coxsackie virus infection in conditions classified elsewhere and of unspecified site

ICD10

  • B08.4 Enteroviral vesicular stomatitis with exanthem

  • B34.1 En...

FAQ

  • Q: What is in the “magic mouthwash” often used to relieve the pain of stomatitis?

  • A: Many health care providers will prescribe a magic mouthwash for symptomatic relief of oral ulcers, pharyngitis, ...

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