The hand/foot/mouth disease is mainly induced by the type A Sacchi virus of the enterotoxin genre which his affiliated with the animal mouth & hoof endemic virus. This disease used to break in when summer is coming to a closure while the fall is about to begin, in sundry fits or in petty fashion; striking principally on younglings aged below 5, on the four spots: hand, foot, mouth and hips (quartet); the rash that came with the disease is similar to neither a mosquito sting, nor to a medicine-induced prurigo, nor to oral or gingival herpes, nor to chicken pox, it is therefore nicknamed “the uncanny rash”; clinically this disease is noted for quadruple features, no pain, no itching, no scarring, and no scabbing.
This disease spreads chiefly by way of spitting contact and air transmission; after a latent phase which lasts 3~6 days the child on attack will evince a minor fever, fatigue and dysorexia, still 2~3 days afterwards small chicken pox or ulcer may develop on stomal mucus, maxillary area and the tongue; concurrent with the presence of petty but ellipsoidal pinky rubeola or marginal chicken pox scattered on or about the hand, foot, mouth and hips. The course is rather short, lasting no longer than 3 to 7 days, clean and clear of any complications.
On parental side, attention must be addressed to taking care of child’s oral pain, dysorexia, supplementing water and fluid diets, observation of consequential developments; in the event of high fever, persistent crying and restlessness, vomiting, short breathing, loss of consciousness, spasm, cold sweating, the child must be referred to a doctor immediately to check to see if this is a rare case of meningitis or myocarditis.
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