Herpetic Whitlow

[Roders]

Hi Terri,

A little over 10 years ago I was diagnosed with herpetic Whitlow on my right index finger only. This was done via a blood test that showed I had antibodies. No type (HSV1/2) was given, nor was a swab taken. This was done in the first or second week after symptoms appeared.

Since then I’ve had 3-4 outbreaks. Each time being much much less significant and always on the same finger. The first outbreak was pretty significant and did the normal scabbing over. The ones after have gone away more like a friction type blister.

I have a ‘current outbreak’ that is slightly different. The two blisters on my right index finger are about the size of a full stop. But, there were/are no other symptoms like itching etc, and they are not raised at all. There is a very small amount of pain if touched. Currently on day 10 since I noticed them.

I also have two similar ‘blisters’ on my left hand. But they are even smaller, and hard to see, with even less sensation.

I have seen my GP but he was very cagey with his response, and just said he wasn’t really sure.

Could this be something other than an outbreak?

Can it spread to my left hand for the first time after 10+ years? Could spread it elsewhere on my body?

If the blisters aren’t raised, or broken the skin, will the virus still be present on my skin?

Can shedding occur without the presence of symptoms for herpetic Whitlow’s?

My main worry is it spreading to my wife or 18month old daughter, is this likely?

[Roders]

Hi Terri,

It seems you may have missed this question. Are you able to answer?

Thank you

[Terri Warren]

We are in Asia and only have intermittent internet connection.
You cannot diagnosis whitlow with a blood test – it needs to be a swab test of the lesion. If there is a blister present, it should be broken open and fluid gathered on the swab.
No, I don’t think it would be transferred to your other hand. Shedding does not occur from the finger as the skin is too thick for virus to come out without a lesion
If you have a concerning lesion, have it swab tested and find out for certain what it is.

Terri

[Author]

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