Hand, foot and mouth disease (HFMD) is a common viral illness that affects children under 10 years old, causing fever and blister-like rashes on the hands, feet, mouth, and buttocks. It is usually caused by coxsackievirus or enterovirus and spreads through direct contact with an infected person's saliva, blister fluid or stool. While there is no specific treatment, symptoms can be managed by treating fever, pain and maintaining fluid intake. Good hygiene practices can help lower the risk of infection.

2. HFMD is a common contagious viral illness
affecting infants and children causing fever
and blister-like eruptions or rashes.

3.  Viral
Enterovirus genus- enterovirus71, poliovirus, coxsackieviruses(A16),
echoviruses..

4.  Children <10yrs
 Summer and early autumn

5.  begins with a fever, poor appetite, malaise and often with a sore throat.
 One or 2 days after fever onset, painful sores usually develop in the
mouth.
 A non-itchy skin rash develops over 1–2 days. The rash is usually located
on the palms of the hands and soles of the feet; it may also appear on the
buttocks and/or genitalia.

6.  by direct contact with infectious virus.
nose and throat secretions, saliva, blister fluid, and stool of
infected persons.
.most often spread by persons with unwashed, virus-contaminated
hands and by contact with virus-contaminated surfaces.
 Infected persons are most contagious during the first week of the
illness.
 Incubation period 3-5 days

7.  By considering the manifestations
 Samples from throat and stool

8.  No specific treatment for HFMD.
 Symptoms can be treated:
 Fever can be treated with antipyretics.
 Pain can be treated with acetaminophen, ibuprofen, or other over-the-counter
pain relievers.
 Mouthwashes or sprays that numb pain can be used to lessen mouth pain.
 Fluid intake should be enough to prevent dehydration.
 Fucibet or Fudic BNF ointment for LA.

9.  No vaccine is available to protect against the enteroviruses that cause HFMD
 the risk of infection can be lowered by following Good hygiene practices;
•Washing hands frequently and correctly and especially after changing
diapers and after using the toilet
•Cleaning dirty surfaces and soiled items, including toys..
•Avoiding close contact (kissing, hugging, sharing eating utensils or
cups, etc.) with persons with HFMD

11.  www.emedicine Dermatology
 www.Medlineplus.com