Hand-foot-and-mouth disease physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2], Aravind Kuchkuntla, M.B.B.S[3]
Overview
Hand foot mouth disease is one of many infections that result in mouth sores. Another common cause is oral herpesvirus infection, which produces an inflammation of the mouth and gums (sometimes called stomatitis). Usually, the physician can distinguish between HFMD and other causes of mouth sores based on the age of the patient, the pattern of symptoms reported by the patient or parent, and the appearance of the rash and sores on examination.
Physical examination
Common physical examination findings of hand-foot and mouth disease include:[1][2]
General Apperance
- Patient will appear ill with fever
HEENT
- Lesions in the mouth:
- Irregularly shaped shallow ulcers with yellow-grey base and hyperemic margin.[3]
- Location of the ulcers include:
- Margings of tongue
- Inside of cheeks
- Anterior fauces
- On the mandible above the posterior molar teeth
- Soft palate
Skin
- Vesicular skin lesions on hand , foot (dorsum of the fingers and toes near the nail margins, and on heels) and sometimes on the buttocks.
Gallery
Head
Extremities
References
- ↑ ALSOP J, FLEWETT TH, FOSTER JR (1960). ""Hand-foot-and-mouth disease" in Birmingham in 1959". Br Med J. 2 (5214): 1708–11. PMC 2098292. PMID 13682692.
- ↑ Repass GL, Palmer WC, Stancampiano FF (2014). "Hand, foot, and mouth disease: identifying and managing an acute viral syndrome". Cleve Clin J Med. 81 (9): 537–43. doi:10.3949/ccjm.81a.13132. PMID 25183845.
- ↑ Hubiche T, Schuffenecker I, Boralevi F, Léauté-Labrèze C, Bornebusch L, Chiaverini C; et al. (2014). "Dermatological spectrum of hand, foot and mouth disease from classical to generalized exanthema". Pediatr Infect Dis J. 33 (4): e92–8. doi:10.1097/INF.0000000000000120. PMID 24463804.