The herpes simplex virus infection on the finger is known as herpetic whitlow.  Grouped, fluid-filled or pus-filled, blisters are typical and usually itch and/or are painful. Herpetic whitlow is the term for herpes infection of the finger, which includes clustered blisters or pus-filled lesions.  The blisters of a herpetic whitlow infection can be blood tinged. Blisters are common in the first occurrence of the herpes simplex virus. The blisters of a herpetic infection are usually grouped together, as displayed in this image. This image displays blisters on a finger typical of a herpes simplex infection.
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Picture of Herpetic Whitlow: The herpes simplex virus infection on the finger is known as herpetic whitlow.  Grouped, fluid-filled or pus-filled, blisters are typical and usually itch and/or are painful. Divider line
The herpes simplex virus infection on the finger is known as herpetic whitlow. Grouped, fluid-filled or pus-filled, blisters are typical and usually itch and/or are painful.
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Self-Care Guidelines
Acetaminophen or ibuprofen may help reduce fever and pain caused by the herpes simplex virus sores. Applying cool compresses or ice packs may also relieve some of the swelling and discomfort.

Because herpes simplex virus infections are very contagious, it is important to take the following steps to prevent spread (transmission) of the virus during the prodrome phase (burning, tingling, or itching) and active phase (presence of blisters or sores) of herpetic whitlow:
  • Avoid sharing towels and other personal care items
  • Cover the affected finger with a bandage
  • Wear gloves if you are a health care provider
  • Don't pop any blisters—it may make the condition worse
Unfortunately, the virus can still be transmitted even when someone does not have active lesions. However, this is very unusual for patients with herpetic whitlow.
When to Seek Medical Care
If you develop a tender, painful sore on the finger, see a physician, especially if it is not going away or if it seems to be getting worse. You should definitely seek medical attention if you have a finger sore as well as typical symptoms of oral or genital herpes.
Last Modified: 29 Jan 2008
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