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Doença mão-pé-boca

Última revisión: 6 Aug 2025
Última actualización: 11 Aug 2023

Resumen

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • presença de fatores de risco
  • febre baixa
  • vesículas e úlceras orais
  • erupção cutânea e/ou vesículas nas mãos e pés
Todos los datos

Otros factores de diagnóstico

  • mal-estar
  • ferida na boca
  • perda de apetite
  • faringite
  • erupção cutânea e/ou vesículas nas nádegas
  • dor abdominal
  • diarreia
  • tosse
  • eritema/edema na língua
  • artralgia
Todos los datos

Factores de riesgo

  • imunossupressão
  • idade <10 anos
  • contatos na família ou na escola com infecção
Todos los datos

Pruebas diagnósticas

Pruebas diagnósticas que deben considerarse

  • cultura viral
  • Hemograma completo
Todos los datos

Pruebas emergentes

  • ensaios moleculares por reação em cadeia da polimerase

Algoritmo de tratamiento

Agudo

todos os pacientes

Colaboradores

Autores

Malobi I. Ogboli, MBBS, FRCP

Consultant Dermatologist

Birmingham Children's Hospital and Birmingham City Hospital

Birmingham

UK

Divulgaciones

MIO declares that she has no competing interests.

Revisores por pares

Helen Goodyear, MBChB, MRCP, FRCPCH, MD, MMed

Consultant Paediatrician

Heartlands Hospital

Birmingham

UK

Divulgaciones

HG declares that she has no competing interests.

Andrew Riordan, MD, FRCPCH, MRCP, DTM&H

Consultant in Paediatric Infectious Diseases and Immunology

Royal Liverpool Children's Hospital (Alder Hey)

Liverpool

UK

Divulgaciones

AR declares that he has no competing interests.

David Cassarino, MD, PhD

Assistant Professor

Department of Pathology and Laboratory Medicine

University of California

Los Angeles

CA

Divulgaciones

DC declares that he has no competing interests.

Leonid Izikson, MD

Staff Dermatologist

Department of Dermatology

Massachusetts General Hospital

Boston

MA

Divulgaciones

LI declares that he has no competing interests.

Aisha Sethi, MD

Assistant Professor of Medicine

Associate Residency Program Director

University of Chicago

Chicago

IL

Divulgaciones

AS declares that she has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

Alsop J, Flewett TH, Foster JR. "Hand-foot-and-mouth disease" in Birmingham in 1959. Br Med J. 1960;2:1708-1711.Texto completo  Resumen

Ishimaru Y, Nakano S, Yamaoka K, et al. Outbreaks of hand, foot, and mouth disease by enterovirus 71. High incidence of complication disorders of central nervous system. Arch Dis Child. 1980;55:583-588.Texto completo  Resumen

Saguil A, Kane SF, Lauters R, et al. Hand-foot-and-mouth disease: rapid evidence review. Am Fam Physician. 2019 Oct 1;100(7):408-14.Texto completo  Resumen

Chang LY, Tsao KC, Hsia SH, et al. Transmission and clinical features of enterovirus 71 infections in household contacts in Taiwan. JAMA. 2004;291:222-227.Texto completo  Resumen

Chang LY, Lin TY, Huang YC, et al. Comparison of enterovirus 71 and coxsackie-virus A16 clinical illnesses during the Taiwan enterovirus epidemic, 1998. Pediatr Infect Dis J. 1999;18:1092-1096. Resumen

Artículos de referencia

Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
  • Doença mão-pé-boca images
  • Diferenciales

    • Estomatite aftosa ou úlceras aftosas orais
    • Herpes simples
    • Herpangina
    Más Diferenciales
  • Guías de práctica clínica

    • Health protection in children and young people settings, including education
    • Chinese guidelines for the diagnosis and treatment of hand, foot and mouth disease (2018 edition)
    Más Guías de práctica clínica
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