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Hand, Foot and Mouth Disease in Children: IAP guidelines

Hand, foot, and mouth disease (HFMD) is a clinical syndrome characterized by an oral enanthem and a macular, maculopapular, or vesicular rash of the hands and feet caused by enteroviruses of Picornaviridae family.Most commonly caused by Coxsackievirus A16 and Enterovirus 71. Herpangina is a benign clinical syndrome characterized by fever and a painful papulovesiculo-ulcerative oral...
Hand, foot, and mouth disease (HFMD) is a clinical syndrome characterized by an oral enanthem and a macular, maculopapular, or vesicular rash of the hands and feet caused by enteroviruses of Picornaviridae family.
The Indian Academy of Pediatrics (IAP) has released Standard Treatment Guidelines 2022 for Hand, Foot and Mouth Disease in Children. The lead author for these guidelines on Hand, Foot and Mouth Disease in Children is Dr. Narayanappa D along with co-author Dr. Sailendra K Das and Dr. Bakulesh Chauhan. The guidelines come Under the Auspices of the IAP Action Plan 2022, and the members of the IAP Standard Treatment Guidelines Committee include Chairperson Remesh Kumar R, IAP Coordinator Vineet Saxena, National Coordinators SS Kamath, Vinod H Ratageri, Member Secretaries Krishna Mohan R, Vishnu Mohan PT and Members Santanu Deb, Surender Singh Bisht, Prashant Kariya, Narmada Ashok, Pawan Kalyan.
- Aphthous ulcers
- Herpetic gingivostomatitis
- Varicella
- Measles
- Erythema multiforme
- Rickettsial fever
- Scabies
- Stevens-Johnson syndrome
- Dinulos J. Habif's Clinical Dermatology: A Color Guide to Diagnosis and Therapy, 7th edition. Amsterdam, Netherlands: Elsevier; 2019. pp 529-30.
- Guerra AM, Orille E, Waseem M. Hand, foot, and mouth disease. Treasure Island (FL): StatPearls Publishing; 2022.
- Messacar K, Abzug MJ. Nonpolio enteroviruses. In: Kliegman RM, St Geme J (Eds). Nelson Textbook of Pediatrics, 21st edition. Amsterdam, Netherlands: Elsevier; 2019. pp. 1690-97.
- Romero JR. (2022). Hand, foot, and mouth disease and Herpangina. [online] Available from https:// www.uptodate.com/contents/hand-foot-and-mouth-disease-and-herpangina. [Last accessed May, 2022].
- Saguil A, Kane SF, Lauters R, Mercado MG. Hand-Foot-and-Mouth Disease: Rapid Evidence Review. Am Fam Physician. 2019;100(7):408-14.
- The guidelines can be accessed on the official site of IAP: https://iapindia.org/standard-treatment-guidelines/
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