ContentsSynopsisCodesLook ForDiagnostic PearlsDifferential Diagnosis & PitfallsBest TestsManagement PearlsTherapyReferencesInformation for PatientsView all Images (24)
Herpetic whitlow - Nail and Distal Digit
See also in: Overview,Cellulitis DDx
Print Captions
Other Resources UpToDate PubMed

Herpetic whitlow - Nail and Distal Digit

See also in: Overview,Cellulitis DDx
Print Patient Handout Images (24)
Contributors: Susan Burgin MD, Bertrand Richert MD, Robert Baran MD
Other Resources UpToDate PubMed

Alerts and Notices

Synopsis

Herpetic whitlow : Axillary lymphadenopathy, Hand edema, Painful skin lesions, Periungual fingers, Vesicles
Herpetic whitlow, or distal digital herpes simplex virus (HSV), is an uncommon infection occurring on the fingers or periungually, either from HSV1 or HSV2. Herpetic whitlow from HSV1 usually affects children and dental and medical personnel who do not regularly wear gloves. Toe involvement has been reported in infants from toe sucking. Digital-to-genital contact of HSV2 is also a mode of transmission.

After an incubation period of 3-7 days, during which there may be local erythema and edema as well as tenderness, a group of vesicles appears around the perionychium and on the volar digital skin. Vesicles may progress to erosions or may become pustular first and simulate a felon. Lesions may involve the distal-free edge of the nail and extend into the nail bed, which often results in hemorrhage. Swelling of the hand with lymphatic streaking may also occur.

Recurrences of herpetic whitlow may be seen, especially in immunosuppressed individuals.

Codes

ICD10CM:
B00.89 – Other herpesviral infection

SNOMEDCT:
43891009 – Herpetic whitlow

Look For

Subscription Required

Diagnostic Pearls

Subscription Required

Differential Diagnosis & Pitfalls

Best Tests

Subscription Required

Management Pearls

Subscription Required

Therapy

Subscription Required

References

Subscription Required

Last Reviewed:01/30/2017
Last Updated:11/13/2019
Copyright © 2021 VisualDx®. All rights reserved.
Herpetic whitlow - Nail and Distal Digit
See also in: Overview,Cellulitis DDx
Captions Print   Filter Images View all Images (24)
(with subscription) Reset
Herpetic whitlow : Axillary lymphadenopathy, Hand edema, Painful skin lesions, Periungual fingers, Vesicles
Clinical image of Herpetic whitlow
A cluster of cloudy vesicles and some small crusts on a brightly erythematous base on the finger.

+22 More images of Herpetic whitlow with subscription

Copyright © 2021 VisualDx®. All rights reserved.