By Doug Stewart
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Extra info for Encyclopedia Magica (Advanced Dungeons and Dragons), Vol. 4: S-Z
Common methods of transmission are contact with the unwashed hands of a person with HFMD or with a toy, drinking glass, or other object the infected person has touched. Infected children and adults are most contagious during the first week of illness; the virus can, however, remain in the intestines for about a month after the illness. HFMD has an incubation period of three to seven days. The first symptoms of illness are usually fever and a sore throat, followed by loss of appetite. About two days after the fever begins, the patient develops painful sores in the mouth.
Xlii UXL Encyclopedia of Diseases and Disorders Words to Know Keratoconus: An eye disorder in which the tissue of the cornea grows thinner over time. Koplik spots: Small reddish spots with white centers seen on the tissues lining the cheeks in early-stage measles. Kuru: A fatal brain disease related to CJD that was epidemic in Papua New Guinea in the mid-1950s. Kuru is thought to have been spread by cannibalism. Lactase: An enzyme that breaks down lactose into simpler sugars during the process of digestion.
It is important to make sure that the patient drinks plenty of fluids. Children with HFMD sometimes become dehydrated because the sores inside the mouth and throat hurt when the child tries to drink fruit juice, soft drinks, tea, or other drinks that contain acid. Milk-based drinks or cold foods like ice cream or popsicles are often less painful for the child to swallow. Children who do become dehydrated may need to be taken to the hospital for treatment with intravenous fluids. Children with blisters on the hands and feet should keep the areas clean by washing gently with soap and water, then patting the skin dry to avoid breaking the blister and spreading the infection.