Herpetic whitlow: Difference between revisions
(Created page with "==Background== *HSV infection of distal finger **Usually occurs from contact w/ oral herpes ==Clinical Features== *Same burning, pruritic sensation as from other herpes infectio...") |
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==Background== | ==Background== | ||
*HSV infection of distal finger | *[[HSV]] infection of distal finger | ||
**Usually occurs from contact w/ oral herpes | **Usually occurs from contact w/ oral herpes | ||
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==Diagnosis== | ==Diagnosis== | ||
*If unsure of diagnosis can unroof a vesicle and send fluid for a Tzanck smear | *If unsure of diagnosis can unroof a vesicle and send fluid for a Tzanck smear | ||
==Differential Diagnosis== | |||
{{Template:Hand Infection DDX}} | |||
==Treatment== | ==Treatment== | ||
Revision as of 05:38, 21 March 2014
Background
- HSV infection of distal finger
- Usually occurs from contact w/ oral herpes
Clinical Features
- Same burning, pruritic sensation as from other herpes infections
- Vesicular ullae
- Finger may be indurated and tender (but should not be tense, as in a felon)
Diagnosis
- If unsure of diagnosis can unroof a vesicle and send fluid for a Tzanck smear
Differential Diagnosis
Hand and finger infections
- Bed bugs
- Closed fist infection (Fight Bite)
- Hand cellulitis
- Hand deep space infection
- Hand-foot-and-mouth disease
- Herpetic whitlow
- Felon
- Flexor tenosynovitis
- Paronychia
- Scabies
- Sporotrichosis
Look-Alikes
Treatment
- Immobilization, elevation, analgesia
- Acyclovir/valacyclovir may shorten duration of infection
- Prevent autoinoculation or spread to other individuals by applying clean dressing
Source
- Tintinalli