[Herpes simplex digitalis--an important differential diagnosis of paronychia].
Herpes simplex infection of the hand is often falsely diagnosed as a pyogenic paronychia or felon and treated as such, because the clinical picture is not known and pathogen isolation is difficult. However, the surgical treatment of herpes digitalis is contraindicated, since it promotes the development of superinfections and triggers recurrence. The pathogen can be isolated in cell cultures prepared from the vesicle contents or a smear from the vesicle base. Serological antibody testing is unreliable. Topical application of Acyclovir cream (Zovirax) is the treatment of choice.
Zimmer-Amrhein
S
S
Abteilung für Unfall- und Wiederherstellungschirurgie im Klinikum Steglitz, Freien Universität Berlin.
Voigt
C
C
Hensel
H
H
Rahmanzadeh
R
R
D000212:Acyclovir / Q000008:administration & dosage; D000287:Administration, Topical; D000328:Adult; D003872:Dermatitis / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D006561:Herpes Simplex / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D010304:Paronychia / Q000175:diagnosis* / Q000188:drug therapy; D012008:Recurrence
D000212:Acyclovir
Herpes simplex digitalis--eine wichtige Differentialdiagnose des Panaritiums.