Herpetyczne białaczki palców
Etiologia i przyczyny

Herpetyczne białaczki palców to bolesna infekcja skóry wywołana przez wirusa opryszczki pospolitej (HSV) typu 1 lub 2, z częstością występowania około 2,4/100 000 osób rocznie. HSV-1 odpowiada za około 60% przypadków, a HSV-2 za 40%, przy czym zakażenia u dzieci częściej dotyczą HSV-1, a u dorosłych HSV-2, zwykle w wyniku autoinokulacji z pierwotnych zmian w jamie ustnej lub narządach płciowych. Wirus wnika przez uszkodzoną skórę (np. zadrapania, rozerwane skórki przy paznokciach), replikuje się w komórkach nabłonkowych i pozostaje uśpiony w zwojach nerwowych, z możliwością reaktywacji prowadzącej do nawrotów w 30-50% przypadków. Czynniki wyzwalające nawroty obejmują gorączkę, stres, zaburzenia hormonalne, ekspozycję na słońce, urazy oraz immunosupresję. Zakażenie jest wysoce zakaźne, przenoszone przez bezpośredni kontakt ze zmianami opryszczkowymi lub wydzielinami, a wirus może przetrwać na powierzchniach nieożywionych przez kilka godzin.

Etiologia herpetycznych białaczek palców (Herpetic whitlow)

Herpetyczne białaczki palców to bolesna infekcja wirusowa skóry, która zwykle atakuje opuszki palców lub kciuków, a czasami również palce stóp. Zakażenie jest wywoływane przez wirusa opryszczki pospolitej (Herpes simplex virus – HSV) typu 1 lub typu 2.12 Jest to stosunkowo rzadka choroba, której częstość występowania szacuje się na około 2,4 przypadków na 100 000 osób rocznie.3

Typy wirusa odpowiedzialne za zakażenie

W przypadku herpetycznych białaczek palców, przyczyną zakażenia jest wirus HSV-1 w około 60% przypadków, podczas gdy HSV-2 odpowiada za pozostałe 40% przypadków.45 HSV-1 jest głównie związany z opryszczką wargową (herpes labialis), natomiast HSV-2 najczęściej odpowiada za opryszczkę narządów płciowych (herpes genitalis).67

Zakażenie dotyczące palca zwykle wynika z autoinokulacji z pierwotnych zmian w jamie ustnej lub narządach płciowych. U dzieci częściej występuje zakażenie HSV-1, które zwykle jest następstwem przeniesienia wirusa z pierwotnych zmian w jamie ustnej w wyniku ssania palców lub kciuka.8 W populacji osób dorosłych herpetyczne białaczki palców najczęściej wynikają z autoinokulacji z opryszczki narządów płciowych, dlatego najczęściej są wtórne do zakażenia HSV-2.910

Mechanizm zakażenia

Herpetyczne białaczki palców powstają, gdy wirus HSV wnika do organizmu przez uszkodzoną skórę, najczęściej poprzez małe ranki, zadrapania lub rozerwane skórki przy paznokciach.1112 Zakażenie pierwotne następuje poprzez bezpośrednią egzogenną lub autogenną inokulację przez uszkodzoną skórę.13 Infekcja nawrotowa może wystąpić, gdy pacjent dostaje herpetyczne białaczki palców w wyniku reaktywacji utajonego wirusa miesiące lub lata po zakażeniu pierwotnym.1415

Z biologicznego punktu widzenia, gdy skóra zostaje uszkodzona i HSV wnika do organizmu, wirus zakaża ludzkie komórki nabłonkowe, replikuje się, i pojawiają się objawy.16 Po początkowym zakażeniu HSV ustanawia przewlekłe zakażenie w zwojach czuciowych i reaktywuje się na błonie śluzowej i skórze.17 Wirus HSV wnika do naskórka przez uszkodzenie skóry i zakaża komórki nabłonkowe. Replikacja wirusa zachodzi i tworzy objawowe zmiany pęcherzykowe. Wirus podróżuje wzdłuż nerwu do zwoju korzeni grzbietowych i pozostaje uśpiony, ale może się reaktywować, powodując nawracające objawy.18

Drogi transmisji

Herpetyczne białaczki palców są zakaźne i mogą być przenoszone w następujący sposób:

  • Bezpośredni kontakt ze skórą zawierającą wirusa, która może znajdować się na narządach płciowych, twarzy lub dłoniach osoby zakażonej19
  • Dotykanie obszarów z aktywnymi owrzodzeniami jamy ustnej lub narządów płciowych u kogoś innego20
  • Dotykanie własnych zmian opryszczkowych na twarzy lub narządach płciowych21
  • Ssanie kciuka lub obgryzanie paznokci podczas wybuchu opryszczki wargowej22
  • Kontakt z wydzielinami jamy ustnej pacjenta zawierającymi wirusa (dotyczy głównie pracowników służby zdrowia)23

2425

Warto zauważyć, że wirus opryszczki może przetrwać na nieożywionych przedmiotach i pozostać zakaźny przez kilka godzin, co również stanowi potencjalne źródło zakażenia.262728

Grupy ryzyka

Pewne grupy osób są bardziej narażone na rozwój herpetycznych białaczek palców:

  • Pracownicy służby zdrowia – w szczególności dentyści, higienistki stomatologiczne, lekarze, pielęgniarki oraz inne osoby mające kontakt ze śliną lub płynami ustrojowymi zawierającymi wirusa2930
  • Dzieci – szczególnie te ssące kciuk lub palce, które jednocześnie mają opryszczkę wargową3132
  • Osoby z istniejącą infekcją HSV – pacjenci z opryszczką wargową, opryszczkowym zapaleniem dziąseł i jamy ustnej lub opryszczką narządów płciowych są narażeni na autoinokulację33
  • Osoby z osłabionym układem odpornościowym – w tym chorzy na HIV/AIDS, cukrzycę, osoby poddawane chemioterapii lub przyjmujące leki immunosupresyjne3435
  • Sportowcy – szczególnie uprawiający sporty kontaktowe, takie jak zapasy3637

Czynniki wyzwalające nawroty

Po pierwszym zakażeniu wirus HSV pozostaje uśpiony w zwojach nerwowych i może ulegać reaktywacji, prowadząc do nawrotów choroby. Nawroty herpetycznych białaczek palców odnotowuje się w 30-50% przypadków.38 Czynniki wyzwalające reaktywację wirusa i nawrót zakażenia mogą obejmować:

  • Gorączkę lub chorobę nawracającą39
  • Nadmierny stres4041
  • Zaburzenia hormonalne4243
  • Nadmierną ekspozycję na słońce4445
  • Operacje46
  • Urazy fizyczne, psychiczne lub emocjonalne4748
  • Osłabiony układ odpornościowy4950
  • Rany lub skaleczenia na palcach51

Potencjalne powikłania

Jeśli herpetyczne białaczki palców nie są odpowiednio leczone, mogą prowadzić do powikłań, takich jak:

Interakcje z innymi chorobami

HSV ma znaczącą interakcję z HIV – zakażenie HSV-2 czterokrotnie zwiększa ryzyko przeniesienia zakażenia HIV i również 2-3-krotnie zwiększa szanse na nabycie choroby.56 Osoby z obniżoną odpornością, takie jak pacjenci z AIDS, są bardziej podatne na rozwój herpetycznych białaczek palców i mają większe trudności z przezwyciężeniem objawów. Nawroty choroby są również częstsze u tych osób.57

Warto podkreślić, że herpetyczne białaczki palców często są błędnie diagnozowane jako zanokcica (paronychia) lub ropień opuszki palca (felon). Różnicowanie między tymi stanami jest istotne, ponieważ wymagają one innego leczenia.5859 W przypadku herpetycznych białaczek palców, nacinanie i drenaż są przeciwwskazane ze względu na ryzyko wiremii, wtórnego nadkażenia bakteryjnego i zapalenia mózgu HSV.60

Podsumowanie etiologii

Herpetyczne białaczki palców są wywoływane przez wirusa opryszczki pospolitej (HSV-1 lub HSV-2), który wnika do organizmu przez uszkodzoną skórę. Zakażenie może nastąpić poprzez bezpośredni kontakt z osobą zakażoną lub przez autoinokulację z istniejących zmian opryszczkowych. Po pierwszym zakażeniu wirus pozostaje uśpiony w zwojach nerwowych i może ulegać reaktywacji w sprzyjających warunkach, prowadząc do nawrotów choroby.61 Osoby z grup ryzyka, takie jak pracownicy służby zdrowia, dzieci ssące kciuk oraz osoby z osłabionym układem odpornościowym, są szczególnie narażone na rozwój tej infekcji.62 Wczesne rozpoznanie i odpowiednie leczenie są kluczowe dla zapobiegania potencjalnym powikłaniom.63

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Herpetic Whitlow — DermNet
    https://dermnetnz.org/topics/herpetic-whitlow
    Herpetic whitlow is a painful viral cutaneous infection that usually affects the distal fingers or thumbs, and occasionally the toes. It is caused by herpes simplex virus (HSV) type 1 or 2, and can be vesicular or pustular in nature. […] Autoinoculation through spread from other herpetic lesions such as oral or genital herpes. […] Direct exogenous inoculation from an external source. […] Viral reactivation following previous herpes simplex virus (HSV) type 1 or 2. HSV results in viral invasion and replication in epidermal and dermal cells, which can progress to involve the sensory dorsal root ganglion. Here, HSV remains and can be periodically reactivated to cause disease anywhere (including the fingertips). […] Patients may report preceding trauma such as a torn cuticle.
  • #2 Herpetic Whitlow – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK482379/
    Herpetic whitlow is caused by the herpes simplex virus, type 1 or type 2. Primary infection is through direct exogenous or autogenous inoculation through broken skin. Recurrent infection may occur when a patient gets herpetic whitlow by reactivation of latent virus months to years following primary infection. […] Rarely, the infection may be spread to the distal phalanx via direct inoculation and cause pain, swelling, erythema, and vesicles in an entity known as herpetic whitlow.
  • #3 Herpetic Whitlow vs. Dyshidrotic Eczema: Know the Differences
    https://www.healthline.com/health/eczema/herpetic-whitlow-vs-dyshidrotic-eczema
    Herpetic whitlow is relatively uncommon, with an estimated 2.4 cases per 100,000 people annually. Its due to a contagious viral skin infection. […] The herpes simplex virus (HSV) (type 1 or 2) causes herpetic whitlow. This is the same virus that causes other common skin conditions like cold sores. When you come in contact with HSV, the virus can penetrate microscopic breaks in your skin barrier, leading to herpetic whitlow finger infection. […] Herpetic whitlow results from infection by the herpes simplex virus (HSV). This contagious virus spreads easily via skin-to-skin contact with sores. People with HSV infections shed the virus periodically, even when no symptoms are present. […] Herpetic whitlow can occur at any age, but its most common in young children who suck their thumbs, healthcare workers frequently exposed to soft tissue inside the mouth, such as dental hygienists or respiratory therapists, and athletes with frequent skin contact, such as wrestlers.
  • #4 Herpetic Whitlow: Background, Pathophysiology, Epidemiology
    https://emedicine.medscape.com/article/788056-overview
    Herpetic whitlow is an intensely painful infection of the hand involving 1 or more fingers that typically affects the terminal phalanx. Herpes simplex virus 1 (HSV-1) is the cause in approximately 60% of cases of herpetic whitlow, and herpes simplex virus 2 (HSV-2) is the cause in the remaining 40%. […] In children, HSV-1 is the most likely causative agent. Infection involving the finger usually is due to autoinoculation from primary oropharyngeal lesions as a result of finger-sucking or thumb-sucking behavior in patients with herpes labialis or herpetic gingivostomatitis. […] In the general adult population, herpetic whitlow is most often due to autoinoculation from genital herpes; therefore, it is most frequently secondary to infection with HSV-2.
  • #5 Herpetic whitlow: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/317701
    Herpetic whitlow, or whitlow finger, is a painful infection caused by the herpes simplex virus (HSV). It forms when a type of HSV enters the skin around the finger, leading to redness, soreness, and fluid-filled blisters. […] There are different strains of the HSV, including HSV-1, the main cause of cold sores, and HSV-2, the main cause of genital herpes. Both of these strains can cause herpetic whitlow. […] A person can develop herpetic whitlow through direct contact with skin containing the virus, which might be on the genitals, face, or hands. The transmission might involve: touching these areas of someone with active oral or genital sores, a person touching their own cold or genital sores, a person sucking their thumb or biting their nails during an oral herpes outbreak. […] People with certain jobs may have a higher risk of herpes and its complications, such as herpetic whitlow, including medical and dental professionals and anyone else who works closely with people who have herpes. […] The following factors can trigger reoccurring flares of HSV infection, including herpetic whitlow: a fever, a reoccurring illness, excessive stress, hormonal imbalances, excessive sun exposure, surgery, physical, mental, or emotional trauma, a weakened immune system.
  • #6 What Is Herpetic Whitlow – Klarity Health Library
    https://my.klarity.health/what-is-herpetic-whitlow/
    Herpetic whitlow is a common type of skin infection that affects the fingers. It is caused by a virus and is mostly transmitted through physical contact. […] The herpes simplex virus (HSV) causes red, painful blisters to appear on the skin of the fingertips. In rare cases, it can affect the toes too. The virus is also referred to differently depending on how it is contracted: primary HSV (HSV-1) when you contract it for the first time, and recurrent or secondary HSV (HSV-2) when it occurs again. […] HSV is the cause of herpetic whitlow and is transmitted through physical contact with an infected person. […] When a cut on your skin (usually a torn cuticle) or open sore is exposed to infected body fluids of someone infected by the HSV, the virus penetrates the cells of the dermis and infects your body, too.
  • #7 What Is Herpetic Whitlow – Klarity Health Library
    https://my.klarity.health/what-is-herpetic-whitlow/
    Infections caused by HSV-1 are more commonly seen on the fingers of healthcare professionals due to their exposure to the oral secretions of infected patients. It is also common in children as a result of their disposition to finger or thumb-sucking. […] Patients with HSV-2 are seen more in the general population, and most HSV-2 cases of herpetic whitlow are due to a previous genital herpes infection.
  • #8 Herpetic Whitlow: Background, Pathophysiology, Epidemiology
    https://emedicine.medscape.com/article/788056-overview
    Herpetic whitlow is an intensely painful infection of the hand involving 1 or more fingers that typically affects the terminal phalanx. Herpes simplex virus 1 (HSV-1) is the cause in approximately 60% of cases of herpetic whitlow, and herpes simplex virus 2 (HSV-2) is the cause in the remaining 40%. […] In children, HSV-1 is the most likely causative agent. Infection involving the finger usually is due to autoinoculation from primary oropharyngeal lesions as a result of finger-sucking or thumb-sucking behavior in patients with herpes labialis or herpetic gingivostomatitis. […] In the general adult population, herpetic whitlow is most often due to autoinoculation from genital herpes; therefore, it is most frequently secondary to infection with HSV-2.
  • #9 Herpetic Whitlow: Background, Pathophysiology, Epidemiology
    https://emedicine.medscape.com/article/788056-overview
    Herpetic whitlow is an intensely painful infection of the hand involving 1 or more fingers that typically affects the terminal phalanx. Herpes simplex virus 1 (HSV-1) is the cause in approximately 60% of cases of herpetic whitlow, and herpes simplex virus 2 (HSV-2) is the cause in the remaining 40%. […] In children, HSV-1 is the most likely causative agent. Infection involving the finger usually is due to autoinoculation from primary oropharyngeal lesions as a result of finger-sucking or thumb-sucking behavior in patients with herpes labialis or herpetic gingivostomatitis. […] In the general adult population, herpetic whitlow is most often due to autoinoculation from genital herpes; therefore, it is most frequently secondary to infection with HSV-2.
  • #10 Untreated herpetic whitlow can cause severe brain infection – Expert – Punch Newspapers –
    https://punchng.com/untreated-herpetic-whitlow-can-cause-severe-brain-infection-expert/
    The variants responsible for herpetic whitlow are HSV-1 and HSV-2 in about two-third and one-third of cases, respectively. […] In the adult population, it is due to the transfer from the genitals of adults with herpes infection (autoinoculation); hence, the commoner virus in such cases is HSV-2, which is the common cause of genital herpes. […] The late symptoms may be severe and include spread to internal organs leading to infection of the internal organs (sepsis) and brain involvement (encephalitis) especially in people with low immunity. […] Other physical impacts may include severe pain, delayed healing, bacterial infection combined with the herpetic whitlow, and, rarely, systemic spread to the brain causing herpes encephalitis. Herpetic whitlow, if untreated, can cause severe brain infection.
  • #11 Herpetic Whitlow: Causes, Symptoms, Treatment, and Prevention – DoveMed
    https://www.dovemed.com/health-topics/focused-health-topics/herpetic-whitlow-causes-symptoms-treatment-and-prevention
    Herpetic whitlow is caused by the herpes simplex virus, primarily HSV-1 or HSV-2. […] The infection is typically transmitted through direct contact with the infected lesions or secretions of an individual with active herpes infection. […] The virus enters the body through breaks in the skin, such as cuts, abrasions, or hangnails, allowing it to establish an infection in the finger area.
  • #12 Herpetic Whitlow: Symptoms, Causes, Diagnosis, and Treatment
    https://www.medicoverhospitals.in/diseases/herpetic-whitlow/
    Herpetic whitlow is a finger infection caused by the herpes simplex virus. […] Herpetic whitlow is usually transmitted through direct contact with the HSV-infected areas. […] It’s caused by the herpes simplex virus (HSV), usually transmitted through a break in the skin via direct contact with an infected area.
  • #13 Herpetic Whitlow – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK482379/
    Herpetic whitlow is caused by the herpes simplex virus, type 1 or type 2. Primary infection is through direct exogenous or autogenous inoculation through broken skin. Recurrent infection may occur when a patient gets herpetic whitlow by reactivation of latent virus months to years following primary infection. […] Rarely, the infection may be spread to the distal phalanx via direct inoculation and cause pain, swelling, erythema, and vesicles in an entity known as herpetic whitlow.
  • #14 Herpetic Whitlow – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK482379/
    Herpetic whitlow is caused by the herpes simplex virus, type 1 or type 2. Primary infection is through direct exogenous or autogenous inoculation through broken skin. Recurrent infection may occur when a patient gets herpetic whitlow by reactivation of latent virus months to years following primary infection. […] Rarely, the infection may be spread to the distal phalanx via direct inoculation and cause pain, swelling, erythema, and vesicles in an entity known as herpetic whitlow.
  • #15 Herpetic Whitlow – MD Searchlight
    https://mdsearchlight.com/infectious-disease/herpetic-whitlow/
    Herpetic whitlow is a condition caused by the herpes simplex virus. There are two types of this virus, type 1 and type 2. The initial infection happens when the virus enters the body through broken skin. This can occur either through direct contact with someone else who has the virus (exogenous) or by self-contamination (autogenous). […] Sometimes, even if the virus seems to have gone away, it can come back after some months or years. This is known as recurrent infection. So, if a person had herpetic whitlow in the past, they could get it again due to the reactivation of this latent or sleeping virus.
  • #16 Herpetic Whitlow Symptoms, Causes and Treatment
    https://www.verywellhealth.com/herpetic-whitlow-overview-4584881
    Herpetic whitlow is a viral infection of the finger caused by the herpes simplex virus (HSV). […] A person may develop a herpetic whitlow if broken skin on a finger (usually trauma-induced) comes into direct contact with HSV sores or blisters (such as cold sores or genital herpes) on someone else’s body or on their own body. […] What happens biologically is that once the skin is broken and HSV enters the body, the virus infects human epithelial cells, replicates, and symptoms occur. […] While anyone (children and adults) can get herpetic whitlow, certain factors increase a person’s chances of becoming infected: Having a weakened immune system (such as having HIV or cancer that affects the bone marrow).
  • #17 Epidemiology, clinical manifestations, and diagnosis of herpes simplex virus type 1 infection – UpToDate
    https://www.uptodate.com/contents/epidemiology-clinical-manifestations-and-diagnosis-of-herpes-simplex-virus-type-1-infection
    Herpetic whitlow is a cutaneous manifestation of herpes simplex virus infection. […] After initial infection, HSV-1 establishes chronic infection in sensory ganglia and reactivates on mucosa and skin. […] These include recurrent oral or perioral lesions („cold sores”), skin and mucous membrane lesions, including genital lesions, ocular infections (eg, herpetic keratitis), and serious systemic illnesses such as encephalitis and neonatal disease involving multiple organs.
  • #18 Herpetic Whitlow | 5-Minute Clinical Consult
    https://www.unboundmedicine.com/5minute/view/5-Minute-Clinical-Consult/117494/all/Herpetic_Whitlow?q=Herpangina
    Painful, self-limited, cutaneous viral infection of the finger(s), caused by herpes simplex virus (HSV-1 or HSV-2) (1) […] HSV enters epidermis through break in the skin and infects the epithelial cells. Virus replication occurs and forms symptomatic vesicular lesions. Virus travels along the nerve to the dorsal root ganglion and remains dormant but can reactivate to cause recurrent symptoms (1). […] Children: HSV-1, most commonly due to autoinoculation from oral lesions. Transfer from parent to child may also occur through contact (3). […] Adolescents and adults: HSV-1 or HSV-2, commonly due to autoinoculation from genital lesions (2).
  • #19 Herpetic whitlow: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/317701
    Herpetic whitlow, or whitlow finger, is a painful infection caused by the herpes simplex virus (HSV). It forms when a type of HSV enters the skin around the finger, leading to redness, soreness, and fluid-filled blisters. […] There are different strains of the HSV, including HSV-1, the main cause of cold sores, and HSV-2, the main cause of genital herpes. Both of these strains can cause herpetic whitlow. […] A person can develop herpetic whitlow through direct contact with skin containing the virus, which might be on the genitals, face, or hands. The transmission might involve: touching these areas of someone with active oral or genital sores, a person touching their own cold or genital sores, a person sucking their thumb or biting their nails during an oral herpes outbreak. […] People with certain jobs may have a higher risk of herpes and its complications, such as herpetic whitlow, including medical and dental professionals and anyone else who works closely with people who have herpes. […] The following factors can trigger reoccurring flares of HSV infection, including herpetic whitlow: a fever, a reoccurring illness, excessive stress, hormonal imbalances, excessive sun exposure, surgery, physical, mental, or emotional trauma, a weakened immune system.
  • #20 Herpetic whitlow: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/317701
    Herpetic whitlow, or whitlow finger, is a painful infection caused by the herpes simplex virus (HSV). It forms when a type of HSV enters the skin around the finger, leading to redness, soreness, and fluid-filled blisters. […] There are different strains of the HSV, including HSV-1, the main cause of cold sores, and HSV-2, the main cause of genital herpes. Both of these strains can cause herpetic whitlow. […] A person can develop herpetic whitlow through direct contact with skin containing the virus, which might be on the genitals, face, or hands. The transmission might involve: touching these areas of someone with active oral or genital sores, a person touching their own cold or genital sores, a person sucking their thumb or biting their nails during an oral herpes outbreak. […] People with certain jobs may have a higher risk of herpes and its complications, such as herpetic whitlow, including medical and dental professionals and anyone else who works closely with people who have herpes. […] The following factors can trigger reoccurring flares of HSV infection, including herpetic whitlow: a fever, a reoccurring illness, excessive stress, hormonal imbalances, excessive sun exposure, surgery, physical, mental, or emotional trauma, a weakened immune system.
  • #21 Herpetic whitlow: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/317701
    Herpetic whitlow, or whitlow finger, is a painful infection caused by the herpes simplex virus (HSV). It forms when a type of HSV enters the skin around the finger, leading to redness, soreness, and fluid-filled blisters. […] There are different strains of the HSV, including HSV-1, the main cause of cold sores, and HSV-2, the main cause of genital herpes. Both of these strains can cause herpetic whitlow. […] A person can develop herpetic whitlow through direct contact with skin containing the virus, which might be on the genitals, face, or hands. The transmission might involve: touching these areas of someone with active oral or genital sores, a person touching their own cold or genital sores, a person sucking their thumb or biting their nails during an oral herpes outbreak. […] People with certain jobs may have a higher risk of herpes and its complications, such as herpetic whitlow, including medical and dental professionals and anyone else who works closely with people who have herpes. […] The following factors can trigger reoccurring flares of HSV infection, including herpetic whitlow: a fever, a reoccurring illness, excessive stress, hormonal imbalances, excessive sun exposure, surgery, physical, mental, or emotional trauma, a weakened immune system.
  • #22 Herpetic whitlow: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/317701
    Herpetic whitlow, or whitlow finger, is a painful infection caused by the herpes simplex virus (HSV). It forms when a type of HSV enters the skin around the finger, leading to redness, soreness, and fluid-filled blisters. […] There are different strains of the HSV, including HSV-1, the main cause of cold sores, and HSV-2, the main cause of genital herpes. Both of these strains can cause herpetic whitlow. […] A person can develop herpetic whitlow through direct contact with skin containing the virus, which might be on the genitals, face, or hands. The transmission might involve: touching these areas of someone with active oral or genital sores, a person touching their own cold or genital sores, a person sucking their thumb or biting their nails during an oral herpes outbreak. […] People with certain jobs may have a higher risk of herpes and its complications, such as herpetic whitlow, including medical and dental professionals and anyone else who works closely with people who have herpes. […] The following factors can trigger reoccurring flares of HSV infection, including herpetic whitlow: a fever, a reoccurring illness, excessive stress, hormonal imbalances, excessive sun exposure, surgery, physical, mental, or emotional trauma, a weakened immune system.
  • #23 Herpetic whitlow – Wikipedia
    https://en.wikipedia.org/wiki/Herpetic_whitlow
    A herpetic whitlow is a herpes lesion (whitlow), typically on a finger or thumb, caused by the herpes simplex virus (HSV). […] Herpes whitlow can be caused by infection by HSV-1 or HSV-2. […] HSV-1 whitlow is often contracted by health care workers that come in contact with the virus; it is most commonly contracted by dental workers and medical workers exposed to oral secretions. […] In adults, it is more common for the primary source to be the genital region, with a corresponding preponderance of HSV-2. […] It is also seen in adult health care workers such as dentists because of increased exposure to the herpes virus. […] Contact sports are also a potential source of infection with herpetic whitlows.
  • #24 Whitlow in Africans: Causes and Symtoms
    https://www.datelinehealthafrica.org/whitlow-in-africans-causes-and-symptoms
    Herpetic whitlow is a viral infection of the fingernails. […] It is transmitted through direct contact with the carrier of the virus. […] Herpes simplex virus-1 and 2 (HSV-1 and HSV-2) are the commonest causes. […] The primary source of infection is through the contamination of the broken skin of a finger or fingers with the herpes simplex virus in mouth sores, saliva, or genital secretions and surfaces. […] While herpetic whitlow is not a sexually transmitted infection, the virus that causes it (in an individual with genital herpes) can contaminate a broken skin in the finger of a partner during intimate sexual activities.
  • #25 What Is Herpetic Whitlow?
    https://www.icliniq.com/articles/infectious-diseases/herpetic-whitlow
    Herpetic whitlow occurs when an open cut or sore finger comes in contact with the herpes simplex virus. […] Herpetic whitlow is a condition caused by the herpes simplex virus (HSV), resulting in small, painful blisters on the fingers and fingertips. […] The exposure to the herpes virus is through self (pre-existing infection in other parts of the body) or contact with infected individuals. […] Herpes simplex virus 1 (HSV-1) causes approximately 60 percent of cases of herpetic whitlow, whereas herpes simplex virus 2 (HSV-2) causes the remaining 40 percent of cases. […] In rare cases, the virus spreads to the fingertips through an open wound and causes pain, swelling, erythema, and blisters known as herpetic whitlow. […] The infection often occurs as a sequel to local trauma to the nail cuticle.
  • #26 Finger Infections & Swollen Fingers: 6 Possible Causes
    https://www.webmd.com/first-aid/finger-infection
    Herpetic whitlow: A herpetic whitlow is an infection of the fingertip area caused by a virus. This is the most common viral infection of the hand. This infection is often misdiagnosed as a paronychia or felon. […] Herpetic whitlow: The offending viral organism is the herpes simplex virus type I or II. This is the same virus that causes oral or genital herpes infections. People in certain occupations are more at risk for this infection. These include dentists, hygienists, physicians, nurses, or any other person who may have contact with saliva or body fluids that contain the virus. People with oral or genital herpes may also infect their own fingers. […] Herpetic whitlow: A history of contact with body fluids that may contain the herpes virus will aid the diagnosis. The diagnosis can often be made from the history and the appearance of the lesions. The presence of a clear fluid from the wounds may indicate a viral infection rather than a bacterial infection. A sample of the fluid may be analyzed by a Tzank smear, which will identify certain cells, indicating a viral cause.
  • #27 Finger Infections & Swollen Fingers: 6 Possible Causes
    https://www.webmd.com/first-aid/finger-infection
    Herpetic whitlow: Antiviral drugs such as acyclovir (Zovirax) may shorten the duration of illness. Pain medication is often needed. The wound must be properly protected to prevent a secondary bacterial infection and to prevent you from infecting other sites on your body or other people. Incision and drainage is not proper and, if done, may actually delay healing.
  • #28 Herpes Simplex Virus (HSV) – Herpes Whitlow and Manicures — Medilex: The Experts on Medical Experts
    https://medilexinc.com/a-spoonful-of-medicine-blog/herpes-simplex-virus-hsv-herpes-whitlow-and-manicures
    Herpes simplex virus, type 1 or type 2, causes viral-mediated cellular death and associated inflammatory response. A herpes whitlow is a painful herpetic infection of a finger, fingers, and/or fingertips. It can be caused by any of the herpes strains. […] Typically, herpes virus infections are acquired by direct contact with skin or mucous membranes that are infected with the virus, however, the herpes virus can survive on inanimate objects and remain infectious for hours. […] When a nail bed suffers microtrauma from the action of a nail file, nail clipper, or a chemical solutionthings commonly utilized in nail salons as in this casethe skins normal defense mechanisms become injured and impaired, potentially allowing for entry of herpes virus into the cells. […] With sufficient injury and sufficient viral exposure, a herpes infection will occur.
  • #29 Finger Infections & Swollen Fingers: 6 Possible Causes
    https://www.webmd.com/first-aid/finger-infection
    Herpetic whitlow: A herpetic whitlow is an infection of the fingertip area caused by a virus. This is the most common viral infection of the hand. This infection is often misdiagnosed as a paronychia or felon. […] Herpetic whitlow: The offending viral organism is the herpes simplex virus type I or II. This is the same virus that causes oral or genital herpes infections. People in certain occupations are more at risk for this infection. These include dentists, hygienists, physicians, nurses, or any other person who may have contact with saliva or body fluids that contain the virus. People with oral or genital herpes may also infect their own fingers. […] Herpetic whitlow: A history of contact with body fluids that may contain the herpes virus will aid the diagnosis. The diagnosis can often be made from the history and the appearance of the lesions. The presence of a clear fluid from the wounds may indicate a viral infection rather than a bacterial infection. A sample of the fluid may be analyzed by a Tzank smear, which will identify certain cells, indicating a viral cause.
  • #30 Herpetic whitlow – Wikipedia
    https://en.wikipedia.org/wiki/Herpetic_whitlow
    A herpetic whitlow is a herpes lesion (whitlow), typically on a finger or thumb, caused by the herpes simplex virus (HSV). […] Herpes whitlow can be caused by infection by HSV-1 or HSV-2. […] HSV-1 whitlow is often contracted by health care workers that come in contact with the virus; it is most commonly contracted by dental workers and medical workers exposed to oral secretions. […] In adults, it is more common for the primary source to be the genital region, with a corresponding preponderance of HSV-2. […] It is also seen in adult health care workers such as dentists because of increased exposure to the herpes virus. […] Contact sports are also a potential source of infection with herpetic whitlows.
  • #31 Herpetic Whitlow vs. Dyshidrotic Eczema: Know the Differences
    https://www.healthline.com/health/eczema/herpetic-whitlow-vs-dyshidrotic-eczema
    Herpetic whitlow is relatively uncommon, with an estimated 2.4 cases per 100,000 people annually. Its due to a contagious viral skin infection. […] The herpes simplex virus (HSV) (type 1 or 2) causes herpetic whitlow. This is the same virus that causes other common skin conditions like cold sores. When you come in contact with HSV, the virus can penetrate microscopic breaks in your skin barrier, leading to herpetic whitlow finger infection. […] Herpetic whitlow results from infection by the herpes simplex virus (HSV). This contagious virus spreads easily via skin-to-skin contact with sores. People with HSV infections shed the virus periodically, even when no symptoms are present. […] Herpetic whitlow can occur at any age, but its most common in young children who suck their thumbs, healthcare workers frequently exposed to soft tissue inside the mouth, such as dental hygienists or respiratory therapists, and athletes with frequent skin contact, such as wrestlers.
  • #32 What Is a Herpetic Whitlow? And How Do Children Get It?
    https://tguard.com/what-is-a-herpetic-whitlow-and-how-do-children-get-it/?srsltid=AfmBOoqJWz-21PHYWKAzaIrsgC7DOCKsYwm7Ej__cYBeP0Nbu-eEIJnd
    Herpetic whitlow is a contagious viral infection caused by the herpes simplex virus (HSV-1), which typically leads to painful cold sores. […] This complication of oral herpes affects the fingers due to direct contact of infected areas with open cuts or sores. […] According to the Society for Pediatric Dermatology, herpes can spread even if there are no visible sores, and it may also live on surfaces contaminated with infected saliva or skin. […] Pediatric experts recognize that this type of herpes infection is extremely prevalent in children with oral herpes aka cold sores who typically suck their thumbs.
  • #33 Herpetic Whitlow Clinical Presentation: History, Physical, Causes
    https://emedicine.medscape.com/article/788056-clinical
    Patients with other herpetic lesions, such as herpes labialis, herpetic gingivostomatitis, or genital herpes, are at risk due to autoinoculation. […] Immunocompromised patients are at risk for primary infection, reactivation, and possibly systemic complications.
  • #34 Herpetic whitlow (whitlow finger) | nidirect
    https://www.nidirect.gov.uk/conditions/herpetic-whitlow-whitlow-finger
    Herpetic whitlow is caused by a virus called herpes simplex. You can get it if you touch a cold sore or blister of another infected person. […] You’re more likely to get herpetic whitlow if you’ve had cold sores or genital herpes. […] You may also get it if you have a weakened immune system for example, if you have diabetes or you’re having chemotherapy. […] The first time you have herpetic whitlow will usually be the most severe. […] Once you have the virus, it stays in your body for the rest of your life. […] The condition is rare, but if you get it once you can get it again. For example, it might come back if you have a cut or sore on your finger, or if you’re feeling stressed or unwell.
  • #35 Herpetic Whitlow vs. Dyshidrotic Eczema: What’s the Difference? | MyEczemaTeam
    https://www.myeczemateam.com/resources/herpetic-whitlow-vs-dyshidrotic-eczema-whats-the-difference
    Herpetic whitlow is caused by the herpes simplex virus (HSV). This is the same virus that causes cold sores (oral herpes) or genital herpes. If the virus infects the skin on your fingers or hands, it can cause a painful, blistering rash. […] Herpetic whitlow is most common in people who come into contact with saliva or other body fluids that carry the herpes virus, such as: Children who suck their thumbs, Healthcare professionals, such as dental hygienists or respiratory therapists, People exposed to genital herpes, Athletes who have close physical contact, such as wrestlers. […] You may be more likely to have an outbreak of herpetic whitlow if you have a weakened immune system. This can be caused by having a medical condition or from taking certain medications. […] Herpetic whitlow is contagious. The infection can spread to another person through direct physical contact. Its most contagious when there are active blisters, as the virus can spread through the fluid inside them. […] Once the blisters start to form a crust, the risk of spreading the virus drops significantly. If you have herpetic whitlow, its a good idea to cover the blisters with a bandage to help protect others until the skin has fully healed.
  • #36 Herpetic whitlow – Wikipedia
    https://en.wikipedia.org/wiki/Herpetic_whitlow
    A herpetic whitlow is a herpes lesion (whitlow), typically on a finger or thumb, caused by the herpes simplex virus (HSV). […] Herpes whitlow can be caused by infection by HSV-1 or HSV-2. […] HSV-1 whitlow is often contracted by health care workers that come in contact with the virus; it is most commonly contracted by dental workers and medical workers exposed to oral secretions. […] In adults, it is more common for the primary source to be the genital region, with a corresponding preponderance of HSV-2. […] It is also seen in adult health care workers such as dentists because of increased exposure to the herpes virus. […] Contact sports are also a potential source of infection with herpetic whitlows.
  • #37 Herpetic Whitlow vs. Dyshidrotic Eczema: Know the Differences
    https://www.healthline.com/health/eczema/herpetic-whitlow-vs-dyshidrotic-eczema
    Herpetic whitlow is relatively uncommon, with an estimated 2.4 cases per 100,000 people annually. Its due to a contagious viral skin infection. […] The herpes simplex virus (HSV) (type 1 or 2) causes herpetic whitlow. This is the same virus that causes other common skin conditions like cold sores. When you come in contact with HSV, the virus can penetrate microscopic breaks in your skin barrier, leading to herpetic whitlow finger infection. […] Herpetic whitlow results from infection by the herpes simplex virus (HSV). This contagious virus spreads easily via skin-to-skin contact with sores. People with HSV infections shed the virus periodically, even when no symptoms are present. […] Herpetic whitlow can occur at any age, but its most common in young children who suck their thumbs, healthcare workers frequently exposed to soft tissue inside the mouth, such as dental hygienists or respiratory therapists, and athletes with frequent skin contact, such as wrestlers.
  • #38 What Is Herpetic Whitlow?
    https://www.icliniq.com/articles/infectious-diseases/herpetic-whitlow
    Individuals across all age groups and genders are equally prone to developing the infection. […] However, it is most common among children with thumb-sucking habits and healthcare workers (general physicians, dentists, dental hygienists, respiratory therapists) who come in contact with an infected patient’s blisters or sores without adequate protection. […] Patients with a compromised immune system (e.g., patients undergoing chemotherapy, diabetes mellitus, acute immunodeficiency syndrome (AIDS), etc.) are also more prone to the disease. […] Recurrence of herpetic whitlow has been noted in 30 to 50 percent of the cases (due to latent sensory ganglion infection).
  • #39 Herpetic whitlow: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/317701
    Herpetic whitlow, or whitlow finger, is a painful infection caused by the herpes simplex virus (HSV). It forms when a type of HSV enters the skin around the finger, leading to redness, soreness, and fluid-filled blisters. […] There are different strains of the HSV, including HSV-1, the main cause of cold sores, and HSV-2, the main cause of genital herpes. Both of these strains can cause herpetic whitlow. […] A person can develop herpetic whitlow through direct contact with skin containing the virus, which might be on the genitals, face, or hands. The transmission might involve: touching these areas of someone with active oral or genital sores, a person touching their own cold or genital sores, a person sucking their thumb or biting their nails during an oral herpes outbreak. […] People with certain jobs may have a higher risk of herpes and its complications, such as herpetic whitlow, including medical and dental professionals and anyone else who works closely with people who have herpes. […] The following factors can trigger reoccurring flares of HSV infection, including herpetic whitlow: a fever, a reoccurring illness, excessive stress, hormonal imbalances, excessive sun exposure, surgery, physical, mental, or emotional trauma, a weakened immune system.
  • #40 Herpetic whitlow: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/317701
    Herpetic whitlow, or whitlow finger, is a painful infection caused by the herpes simplex virus (HSV). It forms when a type of HSV enters the skin around the finger, leading to redness, soreness, and fluid-filled blisters. […] There are different strains of the HSV, including HSV-1, the main cause of cold sores, and HSV-2, the main cause of genital herpes. Both of these strains can cause herpetic whitlow. […] A person can develop herpetic whitlow through direct contact with skin containing the virus, which might be on the genitals, face, or hands. The transmission might involve: touching these areas of someone with active oral or genital sores, a person touching their own cold or genital sores, a person sucking their thumb or biting their nails during an oral herpes outbreak. […] People with certain jobs may have a higher risk of herpes and its complications, such as herpetic whitlow, including medical and dental professionals and anyone else who works closely with people who have herpes. […] The following factors can trigger reoccurring flares of HSV infection, including herpetic whitlow: a fever, a reoccurring illness, excessive stress, hormonal imbalances, excessive sun exposure, surgery, physical, mental, or emotional trauma, a weakened immune system.
  • #41
    https://www.orthobullets.com/hand/6100/herpetic-whitlow
    Herpetic Whitlow is a viral infection of the hand caused by herpes simplex virus (HSV-1). […] Pathophysiology: viral shedding occurs while vesicles are forming bullae. […] Recurrence may be precipitated by fever, stress, and sun exposure.
  • #42 Herpetic whitlow: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/317701
    Herpetic whitlow, or whitlow finger, is a painful infection caused by the herpes simplex virus (HSV). It forms when a type of HSV enters the skin around the finger, leading to redness, soreness, and fluid-filled blisters. […] There are different strains of the HSV, including HSV-1, the main cause of cold sores, and HSV-2, the main cause of genital herpes. Both of these strains can cause herpetic whitlow. […] A person can develop herpetic whitlow through direct contact with skin containing the virus, which might be on the genitals, face, or hands. The transmission might involve: touching these areas of someone with active oral or genital sores, a person touching their own cold or genital sores, a person sucking their thumb or biting their nails during an oral herpes outbreak. […] People with certain jobs may have a higher risk of herpes and its complications, such as herpetic whitlow, including medical and dental professionals and anyone else who works closely with people who have herpes. […] The following factors can trigger reoccurring flares of HSV infection, including herpetic whitlow: a fever, a reoccurring illness, excessive stress, hormonal imbalances, excessive sun exposure, surgery, physical, mental, or emotional trauma, a weakened immune system.
  • #43 Herpetic Whitlow: Causes, Symptoms And Treatment
    https://www.netmeds.com/health-library/post/herpetic-whitlow-causes-symptoms-and-treatment?srsltid=AfmBOorCZliGz9a1vqxYRrbhQB5o1k036ptZ6Z-vRQNrLn_FyYjBO_UE
    Herpetic Whitlow is a condition wherein blisters form in the fingers due to infection by the herpes simplex virus (HSV), by two strains of the pathogen HSV-1 and HSV-2. […] The chief cause of herpetic whitlow is the exposure of skin on the fingers to skin that is already contaminated with the herpes virus. […] Factors such as stress, fever, hormonal imbalance, prolonged sun exposure, trauma from physical, mental or emotional aspects and a compromised immune system make a person more susceptible to developing herpetic whitlow on their fingers.
  • #44 Herpetic whitlow: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/317701
    Herpetic whitlow, or whitlow finger, is a painful infection caused by the herpes simplex virus (HSV). It forms when a type of HSV enters the skin around the finger, leading to redness, soreness, and fluid-filled blisters. […] There are different strains of the HSV, including HSV-1, the main cause of cold sores, and HSV-2, the main cause of genital herpes. Both of these strains can cause herpetic whitlow. […] A person can develop herpetic whitlow through direct contact with skin containing the virus, which might be on the genitals, face, or hands. The transmission might involve: touching these areas of someone with active oral or genital sores, a person touching their own cold or genital sores, a person sucking their thumb or biting their nails during an oral herpes outbreak. […] People with certain jobs may have a higher risk of herpes and its complications, such as herpetic whitlow, including medical and dental professionals and anyone else who works closely with people who have herpes. […] The following factors can trigger reoccurring flares of HSV infection, including herpetic whitlow: a fever, a reoccurring illness, excessive stress, hormonal imbalances, excessive sun exposure, surgery, physical, mental, or emotional trauma, a weakened immune system.
  • #45
    https://www.orthobullets.com/hand/6100/herpetic-whitlow
    Herpetic Whitlow is a viral infection of the hand caused by herpes simplex virus (HSV-1). […] Pathophysiology: viral shedding occurs while vesicles are forming bullae. […] Recurrence may be precipitated by fever, stress, and sun exposure.
  • #46 Herpetic whitlow: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/317701
    Herpetic whitlow, or whitlow finger, is a painful infection caused by the herpes simplex virus (HSV). It forms when a type of HSV enters the skin around the finger, leading to redness, soreness, and fluid-filled blisters. […] There are different strains of the HSV, including HSV-1, the main cause of cold sores, and HSV-2, the main cause of genital herpes. Both of these strains can cause herpetic whitlow. […] A person can develop herpetic whitlow through direct contact with skin containing the virus, which might be on the genitals, face, or hands. The transmission might involve: touching these areas of someone with active oral or genital sores, a person touching their own cold or genital sores, a person sucking their thumb or biting their nails during an oral herpes outbreak. […] People with certain jobs may have a higher risk of herpes and its complications, such as herpetic whitlow, including medical and dental professionals and anyone else who works closely with people who have herpes. […] The following factors can trigger reoccurring flares of HSV infection, including herpetic whitlow: a fever, a reoccurring illness, excessive stress, hormonal imbalances, excessive sun exposure, surgery, physical, mental, or emotional trauma, a weakened immune system.
  • #47 Herpetic whitlow: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/317701
    Herpetic whitlow, or whitlow finger, is a painful infection caused by the herpes simplex virus (HSV). It forms when a type of HSV enters the skin around the finger, leading to redness, soreness, and fluid-filled blisters. […] There are different strains of the HSV, including HSV-1, the main cause of cold sores, and HSV-2, the main cause of genital herpes. Both of these strains can cause herpetic whitlow. […] A person can develop herpetic whitlow through direct contact with skin containing the virus, which might be on the genitals, face, or hands. The transmission might involve: touching these areas of someone with active oral or genital sores, a person touching their own cold or genital sores, a person sucking their thumb or biting their nails during an oral herpes outbreak. […] People with certain jobs may have a higher risk of herpes and its complications, such as herpetic whitlow, including medical and dental professionals and anyone else who works closely with people who have herpes. […] The following factors can trigger reoccurring flares of HSV infection, including herpetic whitlow: a fever, a reoccurring illness, excessive stress, hormonal imbalances, excessive sun exposure, surgery, physical, mental, or emotional trauma, a weakened immune system.
  • #48 Herpetic Whitlow: Causes, Symptoms And Treatment
    https://www.netmeds.com/health-library/post/herpetic-whitlow-causes-symptoms-and-treatment?srsltid=AfmBOorCZliGz9a1vqxYRrbhQB5o1k036ptZ6Z-vRQNrLn_FyYjBO_UE
    Herpetic Whitlow is a condition wherein blisters form in the fingers due to infection by the herpes simplex virus (HSV), by two strains of the pathogen HSV-1 and HSV-2. […] The chief cause of herpetic whitlow is the exposure of skin on the fingers to skin that is already contaminated with the herpes virus. […] Factors such as stress, fever, hormonal imbalance, prolonged sun exposure, trauma from physical, mental or emotional aspects and a compromised immune system make a person more susceptible to developing herpetic whitlow on their fingers.
  • #49 Herpetic whitlow: Symptoms, causes, and treatment
    https://www.medicalnewstoday.com/articles/317701
    Herpetic whitlow, or whitlow finger, is a painful infection caused by the herpes simplex virus (HSV). It forms when a type of HSV enters the skin around the finger, leading to redness, soreness, and fluid-filled blisters. […] There are different strains of the HSV, including HSV-1, the main cause of cold sores, and HSV-2, the main cause of genital herpes. Both of these strains can cause herpetic whitlow. […] A person can develop herpetic whitlow through direct contact with skin containing the virus, which might be on the genitals, face, or hands. The transmission might involve: touching these areas of someone with active oral or genital sores, a person touching their own cold or genital sores, a person sucking their thumb or biting their nails during an oral herpes outbreak. […] People with certain jobs may have a higher risk of herpes and its complications, such as herpetic whitlow, including medical and dental professionals and anyone else who works closely with people who have herpes. […] The following factors can trigger reoccurring flares of HSV infection, including herpetic whitlow: a fever, a reoccurring illness, excessive stress, hormonal imbalances, excessive sun exposure, surgery, physical, mental, or emotional trauma, a weakened immune system.
  • #50
    https://111.wales.nhs.uk/encyclopaedia/h/article/herpecticwhitlow(whitlowfinger)/
    Herpetic whitlow (whitlow finger) is a painful infection of the finger caused by the herpes virus. It’s easily treated but can come back. […] Herpetic whitlow is caused by a virus called herpes simplex. You can get it if you touch a cold sore or blister of another infected person. […] You’re more likely to get herpetic whitlow if you’ve had cold sores or genital herpes. […] You may also get it if you have a weakened immune system – for example, if you have diabetes or you’re having chemotherapy. […] The first time you have herpetic whitlow will usually be the most severe. […] Once you have the virus, it stays in your body for the rest of your life, so if you get herpetic whitlow once you can get it again.
  • #51
    https://111.wales.nhs.uk/encyclopaedia/h/article/herpecticwhitlow(whitlowfinger)/
    Herpetic whitlow (whitlow finger) is a painful infection of the finger caused by the herpes virus. It’s easily treated but can come back. […] Herpetic whitlow is caused by a virus called herpes simplex. You can get it if you touch a cold sore or blister of another infected person. […] You’re more likely to get herpetic whitlow if you’ve had cold sores or genital herpes. […] You may also get it if you have a weakened immune system – for example, if you have diabetes or you’re having chemotherapy. […] The first time you have herpetic whitlow will usually be the most severe. […] Once you have the virus, it stays in your body for the rest of your life, so if you get herpetic whitlow once you can get it again.
  • #52 Swollen, purple, blistered thumb leads to diagnosis of herpetic whitlow
    https://www.contemporarypediatrics.com/view/swollen-purple-blistered-thumb-leads-to-diagnosis-of-herpetic-whitlow
    The initial presentation of herpetic whitlow is 1 or more vesicles that may be clear or yellow in color with surrounding erythema. They are often accompanied by numbness and tingling, burning pain, and/or pruritus of the affected region. Over time, vesicles may coalesce, satellite lesions may appear, and the site may become hemorrhagic or otherwise discolored. Initial pain typically abates but edema, erythema, and pruritus may continue until resolution of the lesions. Systemic features such as fever, lymphangitis, or regional lymphadenopathy have also been noted. These may be signs of a complication, the most common being bacterial superinfection, typically with Staphylococcus aureus. This can lead to impetigo, cellulitis, or abscess formation, which require antibiotic therapy. Other complications are uncommon, though very rare findings, including meningitis, have been noted.
  • #53 Whitlow – Health Tips, Whitlow Health Articles, Health News | TheHealthSite.com
    https://www.thehealthsite.com/diseases-Conditions/whitlow/
    A whitlow has been defined as a painful skin infection which usually appears on your fingers. Popularly called herpetic whitlow, it is caused by a virus known as herpes simplex. There are two kinds of viruses that lead to herpetic whitlows. They are known as type 1 and type 2. It spreads through close contact (mainly through body fluid) with a person infected by the herpes simplex virus. […] Whitlows occur because of infections that attack your fingers. This is caused by the herpes simplex virus and most people are affected by type 1 virus rather than type 2. […] If this condition is not treated, it may lead to spread to surrounding areas. Also, the chance of recurring is very high.
  • #54 Case report: palmar herpetic whitlow and forearm lymphangitis in a 10-year-old female | BMC Pediatrics | Full Text
    https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-019-1828-5
    Herpetic whitlow is a viral infection caused by the herpes simplex virus (HSV) types 1 or 2, and occurs in the pediatric population primarily on the fingers and toes due to autoinoculation from oral secretions. […] Herpetic whitlow should be included in the differential diagnosis of palmar lesions that appear vesicular or abscess-like to ensure appropriate treatment. Additionally, these palmar lesions may present with associated lymphangitis without evidence of bacterial infection. […] Herpetic whitlow is a painful cutaneous infection caused by the herpes simplex virus (HSV) types 1 or 2, and occurs in the pediatric population primarily due to autoinoculation from oral or genital secretions. […] In cases of herpetic whitlow, incision and drainage is contraindicated for risk of viremia, secondary bacterial superinfection, and HSV encephalitis. […] Our report aims to document a case in which palmar lesions in combination with lymphangitis broadened the initial differential, but was ultimately an atypical presentation of HSV type 1 herpetic whitlow to be considered for future cases.
  • #55 Untreated herpetic whitlow can cause severe brain infection – Expert – Punch Newspapers –
    https://punchng.com/untreated-herpetic-whitlow-can-cause-severe-brain-infection-expert/
    The variants responsible for herpetic whitlow are HSV-1 and HSV-2 in about two-third and one-third of cases, respectively. […] In the adult population, it is due to the transfer from the genitals of adults with herpes infection (autoinoculation); hence, the commoner virus in such cases is HSV-2, which is the common cause of genital herpes. […] The late symptoms may be severe and include spread to internal organs leading to infection of the internal organs (sepsis) and brain involvement (encephalitis) especially in people with low immunity. […] Other physical impacts may include severe pain, delayed healing, bacterial infection combined with the herpetic whitlow, and, rarely, systemic spread to the brain causing herpes encephalitis. Herpetic whitlow, if untreated, can cause severe brain infection.
  • #56 Whitlow – Knowledge and References – Taylor & Francis
    https://taylorandfrancis.com/knowledge/Medicine_and_healthcare/Occupational_%26_environmental_medicine/Whitlow/
    A whitlow is a type of infection that affects the skin and fibro-fatty pulp of the finger, and is caused by the herpes simplex virus. […] Herpetic whitlow is highly contagious up to 7 days after the vesicles are healed, so avoidance of close contacts should be counseled. Medical personnel should be vigilant as latex gloves may only decrease transmission. […] HSV also has a significant interaction with HIV, as HSV-2 infection quadruples the risk of transmitting HIV infection and also increases 2- to 3- fold the chances of acquiring the disease. […] Others include ocular herpes, herpes gladiatorum, herpetic whitlow, neonatal herpes and so on.
  • #57 Herpetic whitlow – Mediclinic
    https://www.mediclinicinfohub.co.za/herpetic-whitlow/
    Herpetic whitlow is a viral infection caused by the Herpes simplex virus. […] Herpetic whitlow is contracted through direct contact with the Herpes simplex virus. There are two types of Herpes simplex virus: HSV-1 or herpes one, and HSV-2 or herpes two. Herpetic whitlow is most often caused by HSV-1, the type associated with oral herpes, also called 'cold sores’ or fever blisters. […] In rare cases, herpetic whitlow can be caused by HSV-2, the virus that usually causes genital herpes. […] The infection usually occurs when the virus infects an open lesion or vulnerable area, or reasserts itself due to a fragile immune system. […] People suffering from immunodeficiency disorders, such as AIDS, are more vulnerable to herpetic whitlow and find it more difficult to overcome the symptoms. Recurrences of the disease are also more common.
  • #58 Finger Infections & Swollen Fingers: 6 Possible Causes
    https://www.webmd.com/first-aid/finger-infection
    Herpetic whitlow: A herpetic whitlow is an infection of the fingertip area caused by a virus. This is the most common viral infection of the hand. This infection is often misdiagnosed as a paronychia or felon. […] Herpetic whitlow: The offending viral organism is the herpes simplex virus type I or II. This is the same virus that causes oral or genital herpes infections. People in certain occupations are more at risk for this infection. These include dentists, hygienists, physicians, nurses, or any other person who may have contact with saliva or body fluids that contain the virus. People with oral or genital herpes may also infect their own fingers. […] Herpetic whitlow: A history of contact with body fluids that may contain the herpes virus will aid the diagnosis. The diagnosis can often be made from the history and the appearance of the lesions. The presence of a clear fluid from the wounds may indicate a viral infection rather than a bacterial infection. A sample of the fluid may be analyzed by a Tzank smear, which will identify certain cells, indicating a viral cause.
  • #59 Whitlow: Symptoms, Causes, and Treatments
    https://resources.healthgrades.com/right-care/infections-and-contagious-diseases/whitlow
    Whitlow is a highly contagious infection caused by the herpes simplex virus (HSV). It is also known as “herpetic whitlow.” Both types of HSV — type 1 and type 2 — can cause herpetic whitlow. […] Acquiring one of the two types of HSV causes whitlow. Type 1 is known as HSV-1, and type 2 is known as HSV-2. […] HSV-1 usually transmits through contact with the saliva or mouth sores of a person who has the infection. HSV-2, on the other hand, primarily transmits through contact with genitalia during sex with someone who has the infection. […] Herpetic whitlow is a painful infection caused by the herpes virus. […] Whitlow is commonly mistaken for paronychia, which is an infection in the nail folds of your fingers or toes. It can also be mistaken for a bacterial felon, which is an infection in the pad of your fingertip.
  • #60 Case report: palmar herpetic whitlow and forearm lymphangitis in a 10-year-old female | BMC Pediatrics | Full Text
    https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-019-1828-5
    Herpetic whitlow is a viral infection caused by the herpes simplex virus (HSV) types 1 or 2, and occurs in the pediatric population primarily on the fingers and toes due to autoinoculation from oral secretions. […] Herpetic whitlow should be included in the differential diagnosis of palmar lesions that appear vesicular or abscess-like to ensure appropriate treatment. Additionally, these palmar lesions may present with associated lymphangitis without evidence of bacterial infection. […] Herpetic whitlow is a painful cutaneous infection caused by the herpes simplex virus (HSV) types 1 or 2, and occurs in the pediatric population primarily due to autoinoculation from oral or genital secretions. […] In cases of herpetic whitlow, incision and drainage is contraindicated for risk of viremia, secondary bacterial superinfection, and HSV encephalitis. […] Our report aims to document a case in which palmar lesions in combination with lymphangitis broadened the initial differential, but was ultimately an atypical presentation of HSV type 1 herpetic whitlow to be considered for future cases.
  • #61 Herpetic Whitlow: Symptoms, Causes, Treatment | Qwark
    https://qwarkhealth.com/conditions/herpetic-whitlow
    Herpetic whitlow is a viral infection caused by the herpes simplex virus. […] Herpetic Whitlow is caused by the herpes simplex virus (HSV), which is the same virus that causes cold sores and genital herpes. […] The virus enters the body through a break in the skin or mucous membrane, often on the fingers or hands, and can spread to other parts of the body or to other people through contact with the sores or blisters. […] The two most common tests used to confirm the diagnosis of Herpetic Whitlow are viral cultures and polymerase chain reaction (PCR) tests. […] Treatment options for Herpetic Whitlow include antiviral medications, such as acyclovir, valacyclovir, and famciclovir. […] While antiviral medications cannot cure Herpetic Whitlow, they can effectively manage symptoms and help prevent future outbreaks. […] Herpetic Whitlow can cause long-term complications, especially in individuals with weakened immune systems or frequent recurrences. […] The likelihood of recurrence following an initial Herpetic Whitlow infection is high, especially in individuals with weakened immune systems.
  • #62 What Is Herpetic Whitlow?
    https://www.icliniq.com/articles/infectious-diseases/herpetic-whitlow
    Individuals across all age groups and genders are equally prone to developing the infection. […] However, it is most common among children with thumb-sucking habits and healthcare workers (general physicians, dentists, dental hygienists, respiratory therapists) who come in contact with an infected patient’s blisters or sores without adequate protection. […] Patients with a compromised immune system (e.g., patients undergoing chemotherapy, diabetes mellitus, acute immunodeficiency syndrome (AIDS), etc.) are also more prone to the disease. […] Recurrence of herpetic whitlow has been noted in 30 to 50 percent of the cases (due to latent sensory ganglion infection).
  • #63 A man with an infected finger: a case report | Journal of Medical Case Reports | Full Text
    https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-015-0589-5
    Whitlow is an infection of a finger or around the fingernails, generally caused by bacterium. However, in rare cases, it may also be caused by the herpes simplex virus. […] Herpetic whitlow is an infrequently seen cause of infection of a finger. It is caused by the herpes simplex virus type 1 (60%) or type 2 (40%). […] Whitlow is rarely caused by the herpes simplex virus, but this disease requires swift recognition and treatment to prevent complications. […] As herpetic whitlow is rare, it may go under-recognised or be mistaken for a different kind of infection of the finger. Delayed recognition and/or treatment puts patients at risk of complications ranging from superinfection to herpetic encephalitis.