History: Hand Foot and Mouth Disease as the name suggests initially involves the mouth with vesicles on the buccal surface surrounded by a red areola.The vesicles on the hands and feet are similar but are often oval or linear in shape running parallel to the skin lines.It is usually caused by the coxsackievirus A-16 but other coxsackie or enteroviruses can also be responsible.The condition usually resolves within the week.