Question
A young child has had a cold for eight days, initially presenting with fever symptoms, which were treated and resolved. However, two days later, oral ulcers appeared in the throat, and the child experienced a recurrence of fever. The child has been receiving intravenous treatment for five consecutive days but still has intermittent fevers and slightly swollen gums. The parents are concerned whether this is a sign of Hand, Foot, and Mouth Disease (HFMD), despite no red rashes appearing on the child’s hands and feet.
Answer
Hand, Foot, and Mouth Disease (HFMD) is a common illness in infants and young children caused by enteroviruses. It primarily manifests as blisters or red macules on the hands, feet, and buttocks, surrounded by red halos. These rashes are typically painless, itchy, do not scab over, and do not leave scars. Most affected children also have blisters inside their mouths, accompanied by pain, drooling, refusal to eat, and fever. A diagnosis of HFMD requires a doctor’s assessment and treatment as prescribed, including rest. Medications such as traditional Chinese medicine may be prescribed if necessary, and attention should be paid to maintaining oral and skin hygiene.