Herpetic whitlow

Also called Whitlow finger

Herpetic whitlow is an infection of the finger caused by the herpes simplex virus, the same virus that causes cold sores. It can happen if a finger touches a cold sore or genital herpes, and is more common in children who suck their thumbs. It causes painful blisters near the fingertip.

Last updated Nov 9, 2026

What it is

It usually gets better on its own within 2 to 3 weeks. Antiviral tablets may help if started early.

Do not burst the blisters, and cover the finger to avoid spreading the virus.

Common signs

  • Pain, tingling or burning in a finger
  • Swelling and redness
  • Small fluid-filled blisters
  • High temperature, sometimes

How it is usually diagnosed

  • Examination of the finger
  • A swab, sometimes

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Notes on episodes and treatment

Questions to ask your doctor

  • Do I need antiviral tablets?
  • How can I avoid spreading it?
  • Could it come back?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Redness spreading up the hand or arm with fever: get urgent medical help

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources