Dr. Mersch received his Bachelor of Arts degree from the University of California, San Diego, and prior to entering the University Of Southern California School Of Medicine, was a graduate student (attaining PhD candidate status) in Experimental Pathology at USC. He attended internship and residency at Children's Hospital Los Angeles.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Hand foot and mouth disease produces a rash on the hands, feet, and in the mouth.
Hand foot and mouth disease often occurs in the spring and fall.
Hand foot and mouth disease is common in children, particularly preschoolers.
Hand foot and mouth disease usually is mild and over within a week. Treatment is directly toward relief of symptoms (fever and sore throat).
What is hand foot and mouth (HFM) disease?
Hand foot and mouth disease (HFM) is a viral infection characterized by fever and a typical rash most frequently seen on the palms of the hands, soles of the feet, and inside the mouth. It should not be confused with foot (hoof) and mouth disease that affects cattle, sheep, and swine.
What are the symptoms and signs of hand foot and mouth disease?
HFM is most commonly an illness of the spring and fall seasons. Initial symptoms of mild fever (101 F-102 F) and malaise are followed within one or two days by a characteristic rash. Small (2 mm-3 mm) red spots that quickly develop into small blisters (vesicles) appear on the palms, soles, and oral cavity. The gums, tongue, and inner cheek are most commonly involved
in the mouth. The foot lesions may also involve the lower calf region and rarely may appear on the buttocks. Oral lesions are commonly associated with a sore throat,
difficulty eating and diminished appetite.
HFM is caused by several members of the enterovirus family of viruses. The most common cause is Coxsackie virus A-16; less frequently enterovirus 71 is the infectious agent. The clinical manifestations of routine HFM are the same regardless of the responsible virus. However, patients infected with enterovirus 71 are more likely to experience rare complications (for example, viral meningitis or cardiac muscle involvement).
Picture of characteristic rash and blisters of hand foot and mouth disease
Picture of characteristic mouth sores of hand foot and mouth disease
The symptoms of hand, foot, and mouth disease are typically mild and occur mainly in children during the spring and fall seasons. Hand, foot, and mouth disease symptoms and signs can include the following:
Some patients may experience the following related hand, foot, and mouth disease symptoms and signs