There are blisters in it, but there are no maculopapular rashes and herpes on the hands and feet, is

Does the patient have any other clinical symptoms? Such as fever or some cold symptoms.

Hand, foot and mouth disease is caused by enterovirus, which can enter the body with two viremias, the first viremia, and the clinical symptoms are mild, which can cause tonsil enlargement, oral herpes, etc.; The second viremia will cause herpes symptoms in the distal limbs - hands, feet and buttocks;

Patients with hand, foot and mouth disease generally have herpes or maculopapular rash in the four parts of the hand, foot, mouth and buttocks, but not all patients will have the manifestations of these four parts, if the virus only causes the first viremia, only oral herpes is manifested at this time, and the oral herpes of hand, foot and mouth disease is mainly in the front of the mouth (cheeks and tongue, inner lip, hard palate);

If herpes grows in the back of the oral cavity (eg, uvula, soft palate margin, base of tongue, palatolingual arch, velopharyngeal arch), be alert to herpangina, which is mainly caused by Epstein-Barr virus and other subtypes of Coxachie virus, and does not cause herpes in the hands, feet, buttocks, etc.;

If oral herpes occurs on the gums, tongue, red lips, etc., be alert to herpetic stomatitis, which is mainly caused by the HSV virus;

So if it's hand, foot and mouth disease, I recommend that you provide the patient's clinical symptoms, or do molecular biology or immunological testing to confirm the diagnosis.

No, it could be caused by a cold.

Initial symptoms of hand, foot and mouth disease:

In the early stages of HFMD, your child will have symptoms like an upper respiratory tract infection, such as fever, cough, runny nose and drooling. Some children can have symptoms such as nausea and vomiting, and oval or fusiform blisters appear on the dorsal fingers and toes of the hands and feet, and the fluid of the blisters is clear with red halo blisters around them, and the long axis of the blisters is consistent with the skin lines.

Then the central depression of the blister becomes yellow, dry, and peels off (desquamation), and there are hard, reddish papules or herpes scattered on the fingers and toes.

At the same time, there are scattered blisters in the oral cavity, such as lips, tongue, oral mucosa, and gums, but the blisters in the oral cavity quickly burst and form gray-white dots or gray-white membranes, which are surrounded by redness, and macro-hidden or flaky erosions can be seen under the gray-white membrane.

Hand, foot and mouth disease**:

1. **Pediatric hand, foot and mouth disease should be kept clean to avoid secondary infection of bacteria. Chlortetracycline cod liver oil can be applied topically to reduce pain and promote early healing of erosions.

2. B vitamins can be taken orally, such as vitamin B2. Taking antiviral drugs, such as virazole, viralin, etc.

3. When children have difficulty eating due to erosion in the oral cavity, they can be given easy-to-digest liquid food and rinse their mouths after meals.

4. If accompanied by fever, safe and effective antipyretics can be selected in a timely and reasonable manner, such as acetaminophen and ibuprofene.

5. Once the child is found to have fever, rash and other manifestations, the child should be taken to the hospital as soon as possible, and actively cooperate with the doctor.

Hope it helps!

1. All are not necessarily measles: infants and young children are more common, and there are cold symptoms such as sneezing, coughing, headache, fever, and tearing in the early stage, and then measles spots will appear on the buccal mucosa. The incubation period for measles is about two weeks, and the patient is the only source of transmission.

Eczema: Most children are under 5 years old. The child has obvious exudation, local or systemic erythema, papules, blisters, erosions, exudation, crusting, scaling, pigmentation, and some will also feel intense itching.

Chickenpox: Caused by the highly contagious varicella virus, it can occur at any age, but is most common in infants and preschoolers. The main manifestation is fever, and a rash can appear at the same time as the fever or the next day.

The rash is a red bean rash the size of a grain of rice and turns into a bright bead of blisters a few hours later. The rash mainly appears on the front and back of the chest, abdomen, head and face, scalp, soles of the feet, and can also appear on the fingers and palms. After the rash, the child will feel itchy.

Scarlet fever: The highest incidence age is 1 to 10 years old, and it is caused by beta-hemolytic streptococcus, and the main manifestations are fever and sore throat. A rash appears all over the body after a day or two of fever, first on the neck, chest, and then quickly throughout the body.

The rash usually lasts for three to five days and then gradually subsides and the body temperature becomes normal. Children with severe rashes will have scaling and peeling on their bodies during the recovery period when the rash gradually subsides, especially the fingers and toes.

Rubella: Commonly seen in school-age and preschool-aged children, mild to moderate fever occurs throughout the body within a day or two, mostly on the trunk and limbs.