Herpetic Whitlow

Herpetic whitlow occurs from the herpes simplex virus. It is a self-limited disease, and it often involves the tip of the fingers. It occurs due to contact with oral or tracheal secretions and from self-inoculation. Due to this, it is often seen in dentists, respiratory therapists, and anesthesiologists. It can also often affect toddlers, especially children who suck their thumb.

The symptoms of herpetic whitlow include a burning sensation, vesicles on the finger which can be grouped together with inflammation and redness at the base, and fluid that is usually clear (not purulent). To diagnose, a gram stain will usually be negative and a Tzanck test will be done, which will show giant cells.

To treat herpetic whitlow, no surgery is needed. In fact, surgery can make the situation worse. Rather, the medicine Acyclovir is used.