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Published on: 3/17/2025

Should I Be Concerned If My Toddler Has Warm Hands and Feet but No Fever?

Warm hands and feet in your toddler without a fever are usually normal and not a cause for immediate concern.

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Explanation

In many toddlers, it is common for their hands and feet to feel warm even when they do not have a fever. Children's bodies are still learning how to manage blood flow and regulate temperature, so variations in skin temperature can happen. Sometimes, warm extremities are simply a sign that blood is flowing normally to those areas, especially if the environment is warm or if your toddler has been active. It is different from conditions like Kawasaki disease, which is usually accompanied by a prolonged fever and other symptoms such as rash, swollen glands, or irritability. Additionally, normal responses to temperature changes can cause the hands and feet to feel warmer without any underlying illness. However, if you ever notice other changes—like your child becoming unusually irritable, showing signs of pain, having a persistent rash, or developing a fever—it might be a good idea to talk with your pediatrician. Keeping an eye on your toddler’s overall behavior and comfort is the best way to decide if further evaluation is needed.

(References)

  • Manion AB, Lubelchek A, Bensko L. Prolonged Fever: Kawasaki Disease in a Pediatric Patient With COVID-19. J Pediatr Health Care. 2023 Mar-Apr;37(2):208-212. doi: 10.1016/j.pedhc.2022.11.013. Epub 2022 Dec 1. PMID: 36549986; PMCID: PMC9712069.

  • Cheung SS. Responses of the hands and feet to cold exposure. Temperature (Austin). 2015 Feb 27;2(1):105-20. doi: 10.1080/23328940.2015.1008890. PMID: 27227009; PMCID: PMC4843861.

  • Bortoli EI, Sakata RK. Tratamento da dor em criança com eritromelalgia: relato de caso [Pain management in children with erythromelalgia: case report]. Braz J Anesthesiol. 2018 Sep-Oct;68(5):531-534. doi: 10.1016/j.bjan.2017.12.009. Epub 2018 Feb 3. PMID: 29402440; PMCID: PMC9391724.

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