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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Herpetic Whitlow  Information for adults

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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Treatments Your Provider May Prescribe
Most herpes simplex virus infections are easy for physicians to diagnose. On occasion, however, a swab from the infected skin may be sent to the laboratory for viral culture, which takes a few days to grow. Blood tests may also be performed.

Untreated HSV infections will go away on their own, but medications can reduce the symptoms and shorten the duration of outbreaks. There is no cure for herpes simplex virus infection.

Although herpetic whitlow symptoms will eventually go away on their own, your physician may prescribe antiviral medications in order to help relieve symptoms and to prevent spread of the infection to other people:
  • Acyclovir pills
  • Valacyclovir pills
  • Famciclovir pills
  • Topical acyclovir ointment
These medications are usually taken for 7–14 days.

More severe herpetic whitlow may require oral antibiotic pills if the area(s) are also infected with bacteria.

Although it is rare, recurrent herpetic whitlow can be treated with the same oral antiviral medications:
  • Acyclovir pills
  • Valacyclovir pills
  • Famciclovir pills
  • Topical acyclovir ointment
People who experience early signs (prodromes) before recurrent infections may benefit from episodic treatment, by starting to take medication after the onset of tingling and burning but before the appearance of blisters and sores.

Very rarely, individuals may have recurrent herpetic whitlow outbreaks that are frequent enough or severe enough to justify suppressive therapy, in which medications are taken every day in order to decrease the frequency and severity of attacks.


Last Modified: 22 Dec 2008