Hand, foot and mouth disease. This common and benign viral disease of childhood is usually caused by the A16 strain of coxsackie virus, although other strains of the same family of viruses have been implicated. It most often occurs in late summer and early fall. The prodrome consists of low-grade fever and malaise. Shortly thereafter, vesicular lesions arise on the soft palate, tongue, buccal mucosa, and uvula. The lips are usually spared. Occasionally, these lesions may be painful and cause some difficulty in eating and drinking. The cutaneous lesions on the palms and soles develop 1 or 2 days after the appearance of the oral lesions. They consist of asymptomatic round or oval vesiculo-pustules that evolve into superficial erosions. The edges of the palms and soles are a favored location.
Color Atlas of Pediatric Dermatology Samuel Weinberg, Neil S. Prose, Leonard Kristal Copyright 2008, 1998, 1990, 1975, by the McGraw-Hill Companies, Inc. All rights reserved.
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