Age-stratified clinical characteristics of hand, foot, and mouth disease in children and its guiding value for diagnosis and treatment - Report - MDSpire

Age-stratified clinical characteristics of hand, foot, and mouth disease in children and its guiding value for diagnosis and treatment

  • By

  • Shuzhen Dai

  • Xiaoling Hu

  • Meihong Lin

  • Wenwen Chen

  • Liping Xu

  • July 7, 2026

  • 0 min

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Clinical Features of Hand, Foot, and Mouth Disease in Children: An Age-Based Analysis

Overview

This study investigates age-stratified clinical characteristics of hand, foot, and mouth disease (HFMD) in children, revealing significant differences in manifestations and complications across age groups.

Background

HFMD is a prevalent pediatric infectious disease caused by enteroviruses, particularly affecting children under 5 years of age. Its clinical presentation can range from mild symptoms to severe neurological complications, making early identification of high-risk patients crucial for effective management.

Data Highlights

Age GroupKey Findings
NeonatesHigher summer incidence, longer hospital stay (8 days), lower rash rates, higher CSF protein, lower CSF glucose
1 month–1 yearHighest peripheral WBC and lymphocyte counts
1–3 yearsMost frequent convulsions (21.48%)
>3 yearsHigher rates of intracranial hypertension (24.00%)

Key Findings

  • Children aged 1–3 years represented 62.76% of cases, with 88.43% under 4 years old.
  • Neonates exhibited higher CSF abnormalities but lower rates of rash and herpangina.
  • The 1 month–1 year group had the highest peripheral WBC and lymphocyte counts.
  • Convulsions were most common in the 1–3 years age group.
  • Children over 3 years had a higher incidence of intracranial hypertension.

Clinical Implications

Clinicians should be aware of the distinct clinical presentations and potential complications associated with different age groups.

Conclusion

HFMD demonstrates significant clinical heterogeneity based on age.

Related Resources & Content

  1. Open Forum Infectious Diseases, 2025 -- Multisystem Inflammatory Syndrome in Children: Assessment, Treatment Strategies, and Prognosis
  2. Infection, 2025 -- Identification of intestinal pathogens in young children prior to and during episodes of acute gastroenteritis: findings from a prospective German birth cohort study (LoewenKIDS)
  3. Clinical Rheumatology, 2025 -- Comprehensive Evaluation of Juvenile Sjögren's Disease
  4. conexiant — Hospital-based Clinical Surveillance and Pediatric Diseases
  5. PAHO/WHO Epidemiological Alert on Hand, Foot, and Mouth Disease
  6. Clinical characteristics and severity of hand, foot, and mouth disease by virus serotype
  7. A randomised trial of a bioreactor-produced EV-A71 vaccine for endemic control in children

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