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.
HFMD is more common in chlidren under 10 years of age.
Contact with someone who is infected with HFMD increases your risk of getting HFMD.
Mild feverPoor appetiteDiscomfortSore throatPainful sores in the mouthSkin rash that does not itch, usually on the palms of hands and soles of feet
You will be asked about your symptoms and medical history. A physical exam will be done.
Your bodily fluids and waste products may need to be tested. 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. Medications 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 August 3, 2014. Accessed November 3, 2014.
Hand, foot, and mouth disease. Centers for Disease Control and Prevention website. Available at:
http://www.cdc.gov/hand-foot-mouth/index.html. Updated August 19, 2013. Accessed November 3, 2014.
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 November 2014 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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