Hand, foot, and mouth disease (HFMD) is a common illness in infants and children. It is characterized by fever, sores in the mouth, and a rash on the hands and feet. It occurs in warmer months. It is transmitted primarily between humans by direct contact with secretions from the nose and throat, saliva, fluid from blisters, or the feces of those who have HFMD.
Hand, Foot, and Mouth Disease
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HFMD is caused by a virus from a group of viruses called enteroviruses.
The following factors increase the risk of HFMD: Contact with someone who is infectedAge: children under 10 years old
Factors that may affect the severity of infection may include: Fever that lasts 3 days or longerVomitingLethargyInfection by specific enterovirusFever at 99.5°F or 37.5°CHigh blood sugarHome care
Mild feverPoor appetiteDiscomfortSore throatPainful sores in the mouthSkin rash that does not itch, usually on the palms of hands and soles of feet
Your doctor will ask about your symptoms and medical history. A physical exam will be done.
Your doctor may need samples of bodily tissues and waste products. This can be done with: Throat swabStool specimen
There is no specific treatment for HFMD. Treatment is focused on relieving fever, aches, and pain associated with the illness. Medicines may be given to help relieve the pain related to the sores in the mouth.
To help reduce the risk of HFMD: Wash your hands frequently, especially after diaper changes.Clean contaminated surfaces with soap and water followed by a diluted solution of chlorine-containing bleach. (Mix about one-fourth cup of bleach with one-gallon water.)Avoid close contact with children with HFMD.
Hand-foot-and-mouth disease. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated July 13, 2012. Accessed January 2, 2013.
Hand, foot, and mouth disease. Centers for Disease Control and Prevention website. Available at:
http://www.cdc.gov/hand-foot-mouth/index.html. Updated May 29, 2012. Accessed January 2, 2012.
6/24/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Fang Y, Wang S, et al. Risk factors of severe hand, foot and mouth disease: A meta-analysis. Scand J Infect Dis. 2014;46(7):515-522.
Last reviewed December 2013 by Kari Kassir, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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