PPT-Figure 1 Figure 1. Vesicular eruptions in A) hand, B) foot, and C) mouth of a

Österback R Vuorinen T Linna M Susi P Hyypiä T Waris M Coxsackievirus A6 and Hand Foot and Mouth Disease Finland Emerg Infect Dis 200915914851488 httpsdoiorg103201eid1509090438. Symptoms include fever skin rash and red spots or sores in the mouth HFMD is not related to footand mouth disease also called hoofandmouth disease Although the two diseases have similar names they are caused by different viruses HFMD only affects pe The disease is characterized by vesicles small blisters which contain clear fluid that occur inside the mouth on the gums and on the side of the tongue On rare occasions persons with the virus that causes hand foot and mouth disease may develop vira Vesicular lesions ie blis ters may appear in the mouth on the sides of the tongue inside the cheek and on the gums Lesions may also occur on the palms fingers soles and buttocks Most lesions persist for 710 days A lowgrade fever may accompany the il routine activities (sores or rash may still be present). Exclusion will not reduce transmission, as some children may shed the virus without showing symptoms, and other children who become ill may she Disease Hand, Foot and Mouth Disease is a viral illness. Symptoms may include: • Fever • Reduced appetite • Sore throat • Incubation Period Contagious Period Days to weeks after in Page 1 of 3 This leaflet offers more information about h and, foot and mouth disease . If you have any further questions or concerns, please spea k to the staff member in charge of your child’s Zuzanna lebioda None declared Conflict of interest None declaredReceived on November 8, 2017Reviewed on November 26, 2017Accepted on December 5, 2017 Abstract Hand, foot and mouth disease (HFMD) is a Van Tu P, Thao NT, Perera D, Truong KH, Tien NT, Thuong TC, et al. Epidemiologic and Virologic Investigation of Hand, Foot, and Mouth Disease, Southern Vietnam, 2005. Emerg Infect Dis. 2007;13(11):1733-1741. https://doi.org/10.3201/eid1311.070632. Wu T, Tsai S, Li S, Lee T, Huang T, Wang M, et al. Sentinel Surveillance for Enterovirus 71, Taiwan, 1998. Emerg Infect Dis. 1999;5(3):458-460. https://doi.org/10.3201/eid0503.990321. Knowles NJ, Wadsworth J, Reid SM, Swabey KG, El-Kholy AA, El-Rahman AO, et al. Foot-and-Mouth Disease Virus Serotype A in Egypt. Emerg Infect Dis. 2007;13(10):1593-1596. https://doi.org/10.3201/eid1310.070252. Hunter PR, Chalmers RM, Syed Q, Hughes LS, Woodhouse S, Swift L. Foot and Mouth Disease and Cryptosporidiosis: Possible Interaction between Two Emerging Infectious Diseases. Emerg Infect Dis. 2003;9(1):109-112. https://doi.org/10.3201/eid0901.020265. Fujimoto T, Iizuka S, Enomoto M, Abe K, Yamashita K, Hanaoka N, et al. Hand, Foot, and Mouth Disease Caused by Coxsackievirus A6, Japan, 2011. Emerg Infect Dis. 2012;18(2):337-339. https://doi.org/10.3201/eid1802.111147. Puenpa J, Chieochansin T, Linsuwanon P, Korkong S, Thongkomplew S, Vichaiwattana P, et al. Hand, Foot and Mouth Disease Caused by Coxsackievirus A6, Thailand, 2012. Emerg Infect Dis. 2013;19(4):641-643. https://doi.org/10.3201/eid1904.121666. Ternavasio-de la Vega H, Ángel-Moreno A, Hernández-Cabrera M, Pisos-Álamo E, Bolaños-Rivero M, Carranza-Rodriguez C, et al. Skin and Soft Tissue Infections (Patera Foot) in Immigrants, Spain. Emerg Infect Dis. 2009;15(4):598-600. https://doi.org/10.3201/eid1504.081457.