Is hand, foot, and mouth disease characterized by fever first or sores first?

Patient's question:

At half a year old, the child has a fever and has developed a few small rashes on the head. The rashes have been present for 3 or 4 days. The fever has lasted for 2 days.
Treatment history and effectiveness: Yesterday, the child took fever-reducing medication and had blood tests. Today, the child received an injection to confirm whether it is hand, foot, and mouth disease. Is hand, foot, and mouth disease characterized by fever first or sores first?

Doctor's answer:

Usually there is no specific order; some may develop a fever first, followed by a rash, while others may develop a rash first, then a fever, or both occur simultaneously. To diagnose hand, foot, and mouth disease, clinical symptoms are generally required, including red rashes on the hands, feet, mouth, and perianal area. Some children may also experience limb tremors. Hand, foot, and mouth disease is a contagious illness caused by enterovirus infection. In the early stages of the disease, fever often occurs first, followed by hand, foot, and mouth blisters, oral ulcers, and perianal rashes. When fever and hand, foot blisters occur simultaneously, it is a self-limiting disease with a natural course of 5-7 days. Treatment is primarily symptomatic.

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