Hand, Foot, And Mouth Disease

Skin & Subcutaneous Tissue


Clinicals - History

Fact Explanation
{"ops":[{"insert":"Introduction"},{"insert":"\n"}]}
{"ops":[{"insert":"Hand, foot, and mouth disease (HFMD) is an infectious disease often caused by Coxsackie A16 (CV-A16) virus, Coxsackie B2-B5, Enterovirus 71 (EV-71), and other enteroviruses.\n\nMost cases are mild and self-limiting; however, severe multisystem involvement is possible."}]}
{"ops":[{"insert":"Fever"},{"insert":"\n"}]}
{"ops":[{"insert":"Mild fever can precede the rash. Fever that is \u003E37.5\u00b0C or that lasts \u003E3 days may herald severe disease."}]}
{"ops":[{"insert":"Oral lesions"},{"insert":"\n"}]}
{"ops":[{"insert":"Painful, blister-like oral mucosal lesions appear early in the course of disease, preceding the rash on the hands and feet. The patient may report pain while eating."}]}
{"ops":[{"insert":"Skin rash"},{"insert":"\n"}]}
{"ops":[{"insert":"A vesicular rash over the hands and feet is classic, but may not always be present. Involvement of other areas such as the hip and buttocks appears to increase the risk for severe disease."}]}
{"ops":[{"insert":"Neurologic symptoms"},{"insert":"\n"}]}
{"ops":[{"insert":"Rarely, HFMD can involve the central nervous system (CNS), leading to aseptic meningitis, acute flaccid paralysis, and brainstem encephalitis.\n\nThe possibility of CNS involvement should be considered in patients with a history of headache, seizures, weakness, paralysis, loss of coordination, or severe nausea."}]}
{"ops":[{"insert":"Introduction"},{"insert":"\n"}]}
{"ops":[{"insert":"Hand, foot, and mouth disease (HFMD) is an infectious disease often caused by Coxsackie A16 (CV-A16) virus, Coxsackie B2-B5, Enterovirus 71 (EV-71), and other enteroviruses.\n\nMost cases are mild and self-limiting; however, severe multisystem involvement is possible."}]}
{"ops":[{"insert":"Fever"},{"insert":"\n"}]}
{"ops":[{"insert":"Mild fever can precede the rash. Fever that is \u003E37.5\u00b0C or that lasts \u003E3 days may herald severe disease."}]}
{"ops":[{"insert":"Oral lesions"},{"insert":"\n"}]}
{"ops":[{"insert":"Painful, blister-like oral mucosal lesions appear early in the course of disease, preceding the rash on the hands and feet. The patient may report pain while eating."}]}
{"ops":[{"insert":"Skin rash"},{"insert":"\n"}]}
{"ops":[{"insert":"A vesicular rash over the hands and feet is classic, but may not always be present. Involvement of other areas such as the hip and buttocks appears to increase the risk for severe disease."}]}
{"ops":[{"insert":"Neurologic symptoms"},{"insert":"\n"}]}
{"ops":[{"insert":"Rarely, HFMD can involve the central nervous system (CNS), leading to aseptic meningitis, acute flaccid paralysis, and brainstem encephalitis.\n\nThe possibility of CNS involvement should be considered in patients with a history of headache, seizures, weakness, paralysis, loss of coordination, or severe nausea."}]}

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