Herpetic Nail Bed Infection

It is a herpes simplex skin infection in the distal portions of the finger.

The herpetic circulation can cause significant pain, the fingertip is not very tense. Blisters develop on the volar or dorsal side the distal phalanx, but usually only 2-3 days after onset of pain. The pain intensity may lead to confusion with a whitlow, however, a distinction is possible due to the low or lack of tenderness of the fingertip and the bubbles. The herpetic nail bed infection can also be a paronychia or other viral infections of the hand mimic (eg., Coxsackie virus). A self-limiting course is the rule, but recurrences are possible. Incision and drainage are contraindicated. Topical administration of acyclovir 5% may shorten the duration of the first episode. Oral acyclovir 800 mg 2 times can prevent recurrences daily, when given immediately after a new symptom onset. Open and oozing blisters should be covered to prevent transmission.

It is a herpes simplex skin infection in the distal portions of the finger. The herpetic circulation can cause significant pain, the fingertip is not very tense. Blisters develop on the volar or dorsal side the distal phalanx, but usually only 2-3 days after onset of pain. The pain intensity may lead to confusion with a whitlow, however, a distinction is possible due to the low or lack of tenderness of the fingertip and the bubbles. The herpetic nail bed infection can also be a paronychia or other viral infections of the hand mimic (eg., Coxsackie virus). A self-limiting course is the rule, but recurrences are possible. Incision and drainage are contraindicated. Topical administration of acyclovir 5% may shorten the duration of the first episode. Oral acyclovir 800 mg 2 times can prevent recurrences daily, when given immediately after a new symptom onset. Open and oozing blisters should be covered to prevent transmission. Tips and risks before incision of a suspected whitlow or paronychia should always also a viral infection such as a herpetic nail bed infections are considered.

Health Life Media Team

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