Foti Caterina, Romita Paolo, Mascia Paolo, Miragliotta Giuseppe, Calvario Agata
Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Italy.
Microbiology and Virology Unit, Bari-Policlinico, Bari, Italy.
Endocr Metab Immune Disord Drug Targets. 2017;17(1):3-4. doi: 10.2174/1871530316666170331164749.
Herpetic whitlow is caused by herpes virus (type1 or 2) during primary infection or as result of autoinoculation. Commonly, it is caused by HSV-2 in adults with positive history for genital infection.
We report the case of a 44-year-old woman that came to our attention with a 3- year history of recurrent cutaneous eruption on the ring finger of her left hand associated to lymphangitis of the homolateral arm. Laboratory exams including PCR on blood and cutaneous swab allowed to diagnosis it as a rare case of herpetic whitlow.
The case here reported demonstrates that herpetic whitlow should be kept in mind by physicians in recurrent cases of fingers infection. Advanced diagnostic techniques as PCR are required to help clinicians to achieve a definite diagnosis and to choose the right treatment.
疱疹性瘭疽是由疱疹病毒（1型或2型）在初次感染期间或自体接种引起的。通常，在有生殖器感染阳性病史的成年人中，它由单纯疱疹病毒2型引起。
我们报告了一名44岁女性的病例，她因左手无名指反复出现皮肤疹并伴有同侧手臂淋巴管炎而引起我们的注意。包括血液和皮肤拭子PCR在内的实验室检查确诊这是一例罕见的疱疹性瘭疽病例。
本文报告的病例表明，对于手指反复感染的病例，医生应考虑到疱疹性瘭疽。需要像PCR这样的先进诊断技术来帮助临床医生做出明确诊断并选择正确的治疗方法。
