Herpes Whitlow???

[InShock]

Herpes Whitlow?????????

I have done plenty of research but never heard of this... can someone PLEASE post the facts about this? Does this mean I can never masturbate again?

I can NOT get an OB on my hands. My profession would not lend itself to that. PLEASE INFORM ASAP.

[mrstaylor5]

You can go to: http://dermatlas.med.jhmi.edu/derm/result.cfm?Diagnosis=-1545524880

It shows pictures of body parts with it.

Background: Herpetic whitlow is an intense painful infection of the hand involving 1 or more fingers that typically affects the terminal phalanx. Herpes simplex virus 1 (HSV-1) is the cause in approximately 60% of cases of herpetic whitlow, and herpes simplex virus 2 (HSV-2) is the cause in the remaining 40%.

Adamson first described herpetic whitlow in 1909, and in 1959, it was noted to be an occupational risk among health care workers.

Pathophysiology: As in other mucocutaneous herpetic infections, herpetic whitlow is initiated by viral inoculation of the host through exposure to infected body fluids via a break in the skin, most commonly a torn cuticle. The virus then invades the cells of the dermis and subcutaneous tissue, and clinical infection ensues within a matter of days.

In children, HSV-1 is the most likely causative agent. Infection involving the finger usually is due to autoinoculation from primary oropharyngeal lesions as a result of finger-sucking or thumb-sucking behavior in patients with herpes labialis or herpetic gingivostomatitis.

Similarly, in health care workers, infection with HSV-1 is more common and usually is secondary to unprotected exposure to infected oropharyngeal secretions of patients. This easily can be prevented by use of gloves and by scrupulous observation of universal fluid precautions.

In the general adult population, herpetic whitlow is most often due to autoinoculation from genital herpes; therefore, it is most frequently secondary to infection with HSV-2.

Subsequent to the initial exposure, an incubation period of 2-20 days is common. Although a prodrome of fever and malaise may be observed, most often initial symptoms are pain and burning or tingling of the infected digit. This usually is followed by erythema, edema, and the development of 1- to 3-mm grouped vesicles on an erythematous base over the next 7-10 days. These vesicles may ulcerate or rupture and usually contain clear fluid, although the fluid may appear cloudy or bloody. Lymphangitis and epitrochlear and axillary lymphadenopathy are not uncommon. After 10-14 days, symptoms usually improve significantly and lesions crust over and heal.

Viral shedding is believed to resolve at this point. Complete resolution occurs over subsequent 5-7 days.

As is typical of other herpetic infections, herpetic whitlow is characterized by a primary infection, which may be followed by a latent period with subsequent recurrences. After the initial infection, the virus enters cutaneous nerve endings and migrates to the peripheral ganglia and Schwann cells where it lies dormant. The primary infection usually is the most symptomatic. Recurrences observed in 20-50% of cases are usually milder and shorter in duration.

Frequency:

• In the US: Annual incidence is estimated at 2.4-5.0 cases per 100,000 population.

Mortality/Morbidity:

• Mortality related to herpetic whitlow can be presumed to be negligible.

• Morbidity is related primarily to bacterial superinfection or to iatrogenic complications due to a misguided incision and drainage resulting from incorrect diagnosis of the infection as a bacterial paronychia. These complications may include delayed resolution, increased incidence of bacterial superinfection, and, rarely, systemic spread and the development of herpes encephalitis.

Sex: Males and females are affected equally by herpetic whitlow.

Age: Toddlers and preschool children are most likely to engage in thumb-sucking or finger-sucking behavior; therefore, they are susceptible to herpetic whitlow if they have herpes labialis or herpetic gingivostomatitis.

[mrstaylor5]

Heres more if it applies to your profession..I wasn't sure;

Dear Anonymous Who Asks About Second Drinking: If we consider that herpes virus in saliva is capable of causing herpetic whitlow in personnel who perform such tasks as handling dentures without gloves in elder nursing home residents, then I suppose by parallel logic, herpes is transmissible by drinking immediately after someone who is infected. I do not know of such an actual case. Perhaps my advisors at the CDC or other professionals out there may have more definitive data or know of a case. Both HSV-1 and HSV-2 are capable of causing acute tonsillitis and pharyngitis, and yes, a whitish exudate can result from the sometimes extensively ulcerated area. Both types may be transmitted among other ways by oral-genital contact, and a study of these two conditions in University of Wisconsin students was published in the 1964, J. Am. Med. Assn., (JAMA), vol.190, p.699. In some cases such patients have been treated erroneously for streptococcal sore throat.

[InShock]

Can you spread Herpes Whitlow through shaking hands?