Herpes whitlow is a painful hand infection caused by herpes simplex virus 1 or 2, often affecting healthcare workers. Symptoms include finger pain, swelling, and injuries. Treatment can alleviate symptoms, but the disease is self-limiting. Prevention includes hand washing and glove use. Complications are rare, and most people recover in three to four weeks.
Herpes whitlow is a painful infection or lesion of the hand that typically involves one or more fingers. It is usually caused by herpes simplex virus 1, but is occasionally caused by herpes simplex virus 2. It usually affects health care workers, such as dentists. Symptoms can be treated and the condition usually lasts for several weeks.
People who are affected by herpetic whitlow typically complain of pain in their fingers and swelling of one or more fingers. Sometimes there are also injuries on the fingers. The thumb and forefinger are usually the fingers affected, although any finger may show signs of herpetic whitlow. Many people with this condition have a fever before pain and swelling appear in the fingers.
People most at risk for herpetic whitlow are health care workers who are exposed to genital or oral secretions that contain herpes simplex viruses 1 or 2. Also, people who care for others who have finger lesions are at risk due to herpetic Whitlow. Babies are sometimes affected, particularly if they suck their thumbs. Additionally, people with compromised immune systems are at risk of infection and even rare complications.
Medical attention may be needed to treat symptoms of herpetic whitlow, although little can be done to cure the disease itself. It is considered a self-limiting disease, meaning it will either be around for a limited time or run a limited course. Aciclovir may be prescribed to shorten the duration of symptoms and prevent the condition from recurring. Antibiotics are typically recommended only if secondary superinfection results from the lesions.
The best way to prevent herpetic whitlow is to avoid exposure to the disease. People who work in the healthcare sector can protect themselves by washing their hands and using gloves. Additionally, people with injuries should be warned about spreading the virus to other people, particularly if they are caring for children.
Complications are rare for people with herpetic whitlow, especially if their immune system is not compromised. Additionally, most people should fully recover from the virus in three to four weeks. Patients should be advised that the disease can easily be spread to other areas of the body and to other people if care is not taken to limit secretions. As with any medical condition, any questions or concerns should be addressed by a physician.
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