Does hand, foot, and mouth disease cause cold hands and feet?

Patient's question:

The child has been having a fever for a while, and taking him to the hospital, they said it's roseola. The child has been getting IV fluids, but he's still running a fever. I touched his forehead, and it was very hot, but his hands and feet were cold. I want to ask if hand, foot, and mouth disease can cause cold hands and feet? Could it be another illness?

Doctor's answer:

Children with acute rash are prone to fever. In cases of fever, peripheral circulation is usually slowed down, making it easy to develop cold hands and feet. It is necessary to measure body temperature to determine if it exceeds 37.2. If it is 38.5, oral antipyretics should be taken for better treatment. At the same time, it is contagious for this infant with acute rash, so it is necessary to treat the disease to prevent infection. Are there other diseases that need to be diagnosed through blood tests?

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