Abstract

Hand, foot and mouth disease usually affect infants and children. Although seen worldwide, it is not common in India. It is moderately contagious and is spread through direct contact with the mucus, saliva, or feces of an infected person. It typically occurs in small epidemics, usually during the summer and autumn months. The incidence of hand, foot and mouth disease has recently been on the rise in India due to the probable mass immunization programs. This report describes a case of hand foot and mouth disease from Mangalore, South India.How to cite this article: Rao PK, Veena KM, Jagadishchandra H, Bhat SS, Shetty SR. Hand, Foot and Mouth Disease: Changing Indian Scenario. Int J Clin Pediatr Dent 2012;5(3):220-222.

Highlights

  • The most common strains causing hand, foot and mouth disease (HFMD) are Coxsackie A16, a type of enterovirus, which mostly affects children below 10 years of age.[1]

  • HFMD known as vesicular stomatitis with exanthema in literature.[3]

  • A 1-year-old male child was referred from department of pediatrics for opinion regarding oral ulcerations

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Summary

INTRODUCTION

The most common strains causing hand, foot and mouth disease (HFMD) are Coxsackie A16, a type of enterovirus, which mostly affects children below 10 years of age.[1] The usual incubation period is 3 to 7 days. Between 1 and 2 days after the onset of fever, painful sores (lesions) may appear in the mouth or throat. Oral lesions appear as vesicles, which rapidly ulcerate producing multiple small superficial ulcers with erythematous halos. The ulcers are usually seen on the tongue, palate, buccal mucosa, gums and lips. Since the disease was self-healing no specific treatment for oral ulcers was given. Complete healing of the lesions was noted in all previously reported sites (Figs 3A to E). On examination of the oral mucosa complete healing was noticed without any scaring (Fig. 4)

DISCUSSION
CONCLUSION
H Jagadishchandra
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