Is tongue pain a symptom of hand, foot, and mouth disease?

Patient's question:

I don't know what's going on, but my child has been misbehaving and crying non-stop lately. Even the hospital check-up didn't help. Could tongue pain be hand, foot, and mouth disease?

Doctor's answer:

When the child has a fever, or 1 to 2 days after the fever, blisters can be seen on their oral mucosa and inside the lips. After the blisters rupture, they form ulcers with severe pain. The child often shows restlessness, crying, drooling, and poor appetite. One to two days after the oral blisters, skin maculopapules can be seen on the child's palms, soles, and buttocks, with the soles being the most numerous. The blisters are round or oval, small as rice grains and large as peas, hard with cloudy fluid inside, surrounded by a red halo.

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