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 Hand, foot and mouth disease

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This is a common infection that appears in the community from time to time, so we tend to see several patients coming up to the surgery with similar features over the course of several weeks before the viral disappears again.

Cause

This illness is caused by a virus called Coxsackie A16 virus. It is spread by droplets from coughing and sneezing

Features of hand, foot and mouth disease

bulletIncubation period 3-7 days. This means that your child was exposed to someone with the virus between 3 and 7 days before the disease appeared. They may have had similar symptoms of spots or small blisters around their mouth, hands, bottom and feet.
bulletChildren are more frequently affected than adults.
bulletFever and slight malaise occur.
bulletA sore mouth with bright red flat spots, small blisters or shallow painful ulcers present in all parts of the mouth but seldom on tonsils and not on the back of the throat is characteristic.
bulletThe rash consists of red flat spots, small blisters (a millimeter or two in size), larger thin-skinned blisters or grey ulcers within a red base. It is concentrated on the hands mainly on sides of fingers; the rash on the feet is found particularly on the toes and outer aspect of the feet, but is seldom present in children under the age of 3: a flat or bumpy rash may be present on the buttocks of young children.

Treatment

This illness does not require treatment other than that which helps with symptoms such as fever. If your child is feverish then paracetamol will help. Sucking ice-cubes, ice cream or cold drinks may sooth the mouth ulcers. The body produces antibodies that kill the virus after a few days. This provides prolonged immunity so it is highly unlikely that your child will catch it again.

How to tell it apart from chicken pox

Chicken pox has a longer incubation period. Your child will have been in contact with another with chicken pox 2-3 weeks previously. Chicken pox blisters are typically much more widespread but are concentrated over the chest, tummy, and face, rather than on the hands and feet. Click here for more information about chicken pox.

Is Hand, foot and mouth disease harmful in pregnancy?

Not as far as we know so there are no special precautions to be taken. However, pregnant mothers will not thank you if they pick up the infection because it will worry them, so, if possible, keep away until the spots have cleared.

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