Hand, foot and mouth disease (HFMD) is characterized by fever, vesicular stomatitis, and papular/vesicular lesions located peripherally (ie palms of hands, knees, soles of feet, buttocks or genitalia).
Oral vesicular lesions are 1-3 mm, mostly found on the buccal mucosa, tongue and soft palate.
Each oral lesion is surrounded by erythema and is tender to touch.
Patient may complain of sore throat or sore mouth, fever and may be difficult to feed.
Most common cause of HFMD is coxsackievirus A16 (A16).
While generally a self-limiting condition, hand, foot, and mouth disease (HFMD) can spread very quickly, particularly among children attending childcare centres. Dr Chan Si Min, Head and Senior Consultant at the Division of Paediatric Infectious Diseases, National University Hospital, Singapore, talks to Roshini Claire Anthony about the complications and management of HFMD.
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