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afya
Hand, foot and mouth disease
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> self-limiting condition affecting children caused by intestinal viruses (Picornaviridae (most commonly coxsackie A16 and enterovirus 71) very contagious typically occurs in outbreaks at nursery ''Clinical features'' mild systemic upset: sore throat, fever oral ulcers followed later by vesicles on the palms and soles of the feet ''Management'' general advice about hydration and analgesia reassurance no link to disease in cattle children do not need to be excluded from school (keep off till feeling better)
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PaedInfection