Hand, foot and mouth disease is often manifested as:? The child's mouth cheeks, tongue, soft palate, hard palate, inner lips, hands and feet heart, elbows, knees, buttocks and anterior pubic areas, the appearance of small rice grains or mung bean size, surrounded by reddish gray-white small herpes or red papules. Tianjin Public Security Hospital Chinese medicine Li Yan

Rash "four unlike": not like mosquito bites, not like drug rash, not like lips and gums herpes, not like chicken pox.

Hand, foot and mouth disease occurs mainly in children under 4 years of age, but adults can get it, so it's safe to say that everyone is susceptible. After infection, only the immunity to that type of virus is acquired, and there is no cross-immunity to reinfection with other types of viruses, i.e., after having HFMD, one may also get HFMD again due to infection with other types of viruses.

(3), ulcers appear in the mouth when the herpes breaks out, often drooling and unable to eat.

Clinically, it is not itchy, not painful, not scabbed, not scarred.

The child urinates yellow.

Children with severe rashes may have fever, runny nose, and cough.

(4), hand, foot and mouth disease is an enterovirus disease, the incubation period is usually 3-7 days, there is no obvious antecedent symptoms: most of the patients suddenly start. It mainly violates four parts of the hands, feet, mouth and buttocks. The child salivates and refuses to eat due to painful mouth ulcers. The oral mucosal rash appears relatively early, initially as a corn-like maculopapular rash or blisters, surrounded by a reddish halo, mainly located on the tongue and cheeks, and often occurs on the lateral side of the lips and teeth. Hands, feet and other distal parts of the appearance or flat or convex pemphigus or herpes, the rash does not itch, maculopapular rash in about 5 days from red to dark, and then subside; herpes is round or oval flat raised, there is a cloudy liquid, the long diameter and the direction of the skin line, such as soybean size varies, generally no pain and itching, healing does not leave traces. Hand, foot and mouth disease occurs in the same patient may not all appear. The blisters and rash usually subside within a week.?

(5), Hand, foot and mouth disease usually recovers within a week, but is highly contagious if the herpes has previously broken out. Hand, foot and mouth disease has the characteristics of epidemic intensity, very infectious, complex transmission pathways. The virus can be transmitted to healthy children through saliva droplets or food crawling with viral flies, through the nose and mouth, and can also be transmitted by direct contact.

(6), complications

Hand-foot-mouth disease manifested in the skin and mouth, but the virus can violate the heart, brain, kidneys and other vital organs. This disease epidemic to strengthen the clinical monitoring of patients, such as the emergence of high fever, leukocytes unexplained increase in white blood cells and can not detect other foci of infection, we must be vigilant about the occurrence of fulminant myocarditis. In recent years, it is found that EV71 has more chances to develop aseptic meningitis than CoxAl6-induced hand-foot-mouth disease, and its symptoms are presented as fever, headache, stiff neck, vomiting, irritability, and restless sleep, etc.; non-specific red papules, or even punctate hemorrhagic dots, can be found occasionally on the body. Combined with the central nervous system symptoms of people, to children under 2 years of age is common.