Hand-foot-and-mouth disease is an illness that causes
sores or blisters in or on the mouth and on the hands, feet, and sometimes the buttocks and legs.
They may be painful. The illness usually doesn't last more than a week or so.
Hand-foot-and-mouth disease is common in children but can also occur in adults. It can occur at any time of year but is most
common in the summer and fall.
not the same as
foot-and-mouth disease (sometimes called
hoof-and-mouth disease) or
mad cow disease. These diseases almost always occur in
Hand-foot-and-mouth disease is caused by a virus called an
The virus spreads easily
through coughing and sneezing. It can also spread through contact with infected stool or blister fluid. This can happen while changing diapers or by touching an object that a child with blisters or sores touched. Often the disease breaks out
within a community.
It usually takes 3 to 6 days for a person to get symptoms
of hand-foot-and-mouth disease after being exposed to the virus. This is called
the incubation period.
At first your child may
feel tired, get a sore throat, or have a fever of around
101°F (38°C) to
103°F (39°C). Then in a day or
two, sores or blisters may appear in or on the mouth and on the hands, feet, and
sometimes the buttocks. In some cases a skin rash may appear before the blisters do. The blisters may break open and crust over.
The sores and
blisters usually go away in a week or so.
In some cases there are no symptoms, or they are very mild. Parents may get the disease from their children and not even realize it.
doctor can tell if your child has hand-foot-and-mouth disease by the symptoms
you describe and by looking at the sores and blisters. Tests usually aren't needed.
usually doesn't need treatment. You can
use home care to help relieve your child's symptoms.
For pain and fever, ask your doctor if you can give your child acetaminophen
(such as Tylenol) or ibuprofen (such as Advil). Do not
give your child aspirin. It has been linked to
Reye syndrome, a serious illness. Be safe with medicines. Read and follow all instructions on the label.
Children are most likely to spread the disease during the
first week of the illness. But the virus can stay in the stool for several months and may spread to others. To help prevent the disease from spreading:
Because so few adults, including pregnant women, get hand-foot-and-mouth disease, it is hard to predict the risk to an unborn child. From experience, doctors say it is very unlikely that the unborn baby will be harmed if a pregnant woman gets hand-foot-and-mouth disease or is around someone who has the disease. The most likely time the unborn child could be harmed is in the first trimester. But even then the risk is small.
Learning about hand-foot-and-mouth disease:
Other Works ConsultedAbzug MJ (2011). Nonpolio enteroviruses. In RM Kliegman et al., eds., Nelson Textbook of Pediatrics, 19th ed., pp. 1088-1094. Philadelphia: Saunders.Belazarian LT, et al. (2012). Exanthematous viral diseases. In LA Goldman et al., eds., Fitzpatrick's Dermatology in General Medicine, 8th ed., vol. 2, pp. 2337-2366. New York: McGraw-Hill.Romero JR (2011). Enterovirus infections. In CD Rudolph et al., eds., Rudolph's Pediatrics, 22nd ed., pp. 1134-1138. New York: McGraw-Hill.
ByHealthwise StaffPrimary Medical ReviewerJohn Pope, MD - PediatricsAdam Husney, MD - Family MedicineE. Gregory Thompson, MD - Internal MedicineElizabeth T. Russo, MD - Internal MedicineKathleen Romito, MD - Family MedicineSpecialist Medical ReviewerKathleen Romito, MD - Family Medicine
Current as ofMay 4, 2017
Current as of:
May 4, 2017
John Pope, MD - Pediatrics & Adam Husney, MD - Family Medicine & E. Gregory Thompson, MD - Internal Medicine & Elizabeth T. Russo, MD - Internal Medicine & Kathleen Romito, MD - Family Medicine & Kathleen Romito, MD - Family Medicine
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Last modified on: 8 September 2017