Treatment Options For Herpetic Whitlow

Herpetic whitlow, also known as whitlow finger, is a highly contagious infection of the finger caused by the herpes simplex virus. The herpes simplex virus has two main types, both of which can lead to the development of herpetic whitlow. Type one most commonly affects the areas around the mouth and frequently produces cold sores, and type two mostly affects the genital area and manifests as genital herpes.

Herpetic whitlow can develop when an individual uses their fingers to touch cold sores or other lesions infected with herpes. The virus can enter the body through cuts and minor breaks in the skin, including paper cuts. Patients who have herpetic whitlow will usually notice initial symptoms such as redness and swelling of the infected finger. Approximately one to two weeks after exposure, blisters may form at the site of infection. Some patients may have only a single blister, and other patients may develop a cluster of small blisters. The blisters may become infected and form a painful abscess. Some patients with the condition develop a fever and chills. Doctors can diagnose herpetic whitlow with blood tests and a swab of the infected area.

Although whitlow finger generally resolves on its own after a few weeks, the measures outlined in this article help speed recovery, manage symptoms and control the infection.

Antiviral Medication

Antiviral medication can shorten the duration of herpetic whitlow, allowing blisters and abscesses to heal faster. Antivirals also help by reducing a patient's risk of getting a secondary bacterial infection and reducing the chance the herpes simplex virus will spread to other parts of the body. These strong medications must be prescribed by a doctor and are most effective in the early days of the illness. In fact, if herpetic whitlow is suspected, it is important to see a healthcare provider within the first forty-eight hours after symptoms begin. Generally, antiviral medications are not effective after this period, and the majority of doctors will only issue them if patients present themselves within two days of symptom onset.

Since the first episode of whitlow finger typically has the most severe symptoms, topical antivirals applied to the skin are often recommended. Patients who experience repeated episodes of herpetic whitlow may need to take oral antivirals for long periods, sometimes for years. Acyclovir can be used both topically and orally and is one of the most common antiviral drugs for this condition. Side effects of this medication include nausea, muscle and joint pain, headaches, dizziness, diarrhea, and fatigue.

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