A herpetic whitlow is a lesion (whitlow) on a finger or thumb caused by the herpes simplex virus. It is a painful infection that typically affects the fingers or thumbs. Occasionally infection occurs on the toes or on the nail cuticle.
Herpes simplex virus (HSV) 很普遍,通常在兒童時期透過直接的身體接觸傳播。它常累及口腔 (HSV-1) 或生殖器 (HSV-2)。在極少數情況下,病毒會擴散至指尖,導致疼痛、腫脹、發紅及水泡,稱為 herpetic whitlow。 Herpes simplex virus (HSV) is common and is most often transmitted in childhood through direct physical contact. The most common infectious sites are oral mucosa (HSV-1) or genital mucosa (HSV-2). Rarely, the infection may be spread to the distal phalanx via direct inoculation and cause pain, swelling, erythema, and vesicles in an entity known as herpetic whitlow.
一名一歲女孩的手指因發燒、發紅、腫脹持續四天後被送往醫院。口腔潰瘍檢測證實存在 1 型單純皰疹病毒,因而診斷為 herpetic whitlow。 A one-year-old girl was hospitalized after experiencing four days of fever, redness, and swelling in one of her fingers. Tests on a mouth sore confirmed the presence of herpes simplex virus type 1, leading to a diagnosis of herpetic whitlow.
疱疹性指頭炎 (Herpetic whitlow) 可由 HSV-1 或 HSV-2 感染引起。HSV-1 感染常見於接觸病毒的醫護人員,尤其是接觸口腔分泌物的牙科工作人員與醫務人員。在有 HSV-1 口腔感染的吮指兒童,以及曾接觸 HSV-2 生殖器感染的 20 至 30 歲成年人中,也常見此情況。
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Acyclovir乳膏可用於治療皰疹。可服用 Acetaminophen 作為止痛藥。
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