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afya Hand, foot and mouth disease

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20160425222413 Ben  
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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)