Herpetic whitlow

Last Updated: 2023-07-07

Author(s): Anzengruber F., Navarini A.

Reviewer(s): -

ICD11: 1F00.0Y

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Publication History

Version 1

07 July 2023

Infection caused by herpes viruses in the area of a finger.

Herpesviruses, usually type I, in some cases type II. A herpetic whitlow can occur as both a primary and secondary infection. Infection often occurs in dentists.

Bubbles or erosion, usually very painful, in the area of the finger.

  • Anamnesis (painful, recent onset)
  • Clinical
  • Virological diagnosis (microtrak and / or PCR)

Analgesia e.g. with ibuprofen.

Topical drying with e.g. Betadine Lsg.

For primary infection

  • Systemic:
    • Valaciclovir p.o. 500 mg 2x daily for 7 days

For secondary manifestations:

  • Systemic
    • Aciclovir 400 mg 5x tgl.
    • Famciclovir 750 mg 2x tgl. for 1 day
    • Valaciclovir 2g 1-0-1 for days

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