A daycare-age classic: fever, canker-like ulcers inside the mouth, and a rash on the palms - soles of the feet - around the mouth. Caused by coxsackieviruses, this illness is highly contagious but mostly harmless.

Symptoms

  • 1-2 days of mild/moderate fever, fatigue, sore throat
  • Painful canker-like ulcers inside the mouth → difficulty swallowing, increased drooling, refusal to eat
  • Red spots/blisters with a grey-white center on the palms, soles of the feet, and sometimes the buttocks
  • Nail peeling may appear 2-6 weeks after recovery (this is harmless)

Home Care

  • Cold and soft foods: custard, yogurt and ice cream ease mouth pain; avoid acidic and hot foods
  • Monitor fluid intake closely — the greatest risk is dehydration
  • Paracetamol/ibuprofen for fever and pain at a weight-appropriate dose
  • Antibiotics do not work

Preventing Transmission

The virus is shed in the stool for weeks: hand washing after diaper changes, wiping down toys, and using separate towels are critical.

See a Doctor

  • Not urinating for more than 6 hours, no tears when crying (dehydration)
  • High fever lasting more than 3 days
  • Neck stiffness, excessive drowsiness, unsteady walking

For similar rash-related conditions: Sixth Disease

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This content is for informational purposes only; please consult your physician for diagnosis and treatment. — Uzm. Dr. Hasan Keleş