Hand foot and mouth disease infection specialist Doctor In Mumbai Hand, foot, and mouth disease ( HFMD ) is one of the most recognizable viral infections in children and adults. It is most commonly caused by coxsackieviruses and echoviruses. The infection occurs after oral ingestion of virus that is shed from the gastrointestinal or upper respiratory tract of infected individuals. However, they also can be transmitted by contact with oral and respiratory secretions. Most cases occur in infants and children, particularly those younger than five to seven years. It usually occurs during the summer and early autumn. In tropical areas, cases of HFMD occur during the rainy season. The incubation period is typically three to five days. HFMD typically presents with complaints of mouth or throat pain or refusal to eat. Fever may not always be present. The lesions including small ulcers can be seen on the tongue or the oral mucosa. The skin lesions of HFMD are nonpruritic. The rash typically involves the hands, feet, buttocks, legs and arms. HFMD generally is a mild clinical syndrome. The complete resolution of symptoms typically occurs within 7 to, at most, 10 days. However, complications may occur. Hence it is very important to take guidance from a specialist at the earliest. The confirmation of a specific viral etiology is seldom necessary. Management is mainly supportive. Children with complications may require hospitalization. No specific antiviral therapy is required for treatment. The hand hygiene is important in the prevention of community acquired HFMD.