Giradito or Herpetic whitwit: Symptoms And Complications, Cause, Treatment and Prevention


The turntable , or herpetic whitlow , is a skin lesion located in the terminal part of the fingers , caused by an infection with herpes simplex virus (type 1 or type 2).

At the level of the affected finger or fingers, the finger turner causes various symptoms and signs , including: redness, itching , burning, swelling, presence of vesicles and / or crusting.
If the underlying infection is severe, the toe can cause high fever , severe pain in the infected area, confusion , and loss of consciousness.
Very often, physical examination and history are sufficient for a correct diagnosis of gyratory .
Except in special cases, the gnat heals spontaneously within 2-3 weeks.

What Is Turntable?

The whitlow , or herpetic whitlow , is a contagious skin infection , which causes a characteristic lesion on the tips of the fingers.
Typically, the fingers most affected are the thumb or forefinger.

See More  Photos Giradito – Herpes Cutaneo


The causes of thumb turner are herpes simplex virus type 1 infections and herpes simplex virus type 2 infections .
These two viruses are capable of causing the twister when, through a skin wound on the fingers, they manage to come into contact with body fluids and spread there.


An individual can develop turnits in at least two ways:

  • Touching an infected person with your hands .
  • If you are a carrier of cold sores or genital herpes , by manual contact with the wounds present, respectively, on the lips or on the genitals. In this case, it is also referred to as a secondary infection.

At the origin of the majority of cases of thumb-turners there is an infection with herpes simplex virus type 1.
The association between thumb-turners and cold sores or genital herpes is very frequent.

Risk Factors

They are risk factors of the turntable:

  • Suffering from cold sores or genital herpes . As stated, touching the wounds caused by these two conditions with your fingers could spread the infection to the hand.
  • Have frequent and close contact with people with thumb lice , cold sores, or genital herpes .
  • Possessing a weak immune system . The immune system is the body’s defensive barrier against viruses, bacteria and other pathogens. A decline in effectiveness of the immune system predisposes to the development of numerous infectious conditions.
    Among the causes that can lead to a weakening of the immune system are old age , HIV infection ( AIDS ), taking chemotherapy and taking immunosuppressants .
  • Frequently obtain, for example as a result of a particular work activity, small cuts at the level of the fingers.

Symptoms And Complications

See also: Giradito symptoms

Visible at the level of the affected finger or fingers, the symptoms and signs of the gyratory generally consist of: redness, burning sensation, sometimes uncontrollable itching , swelling under the nail , pain, feeling of heat, presence of one or more blisters , formation crusting and fluid leakage from the blister(s).
In some situations, the twister can cause the lymph nodes in the hand or arm to swell .


When the infection is particularly severe, or if left untreated, the gyno can lead to high fever , severe pain in the affected finger(s), confusion and/or loss of consciousness.


In all those cases in which the twister has induced one or more of the aforementioned complications (high fever, severe pain, confusion and/or loss of consciousness), it is advisable to immediately contact your doctor or go to the nearest hospital, to receive the more appropriate treatments


Usually, a thorough physical examination and a careful history are sufficient for a correct diagnosis of gyratory .
If the thumb turn is a recurring problem, it is probable that the doctor also decides to take a small sample of cells ( skin swab ) from the infected area, to be analyzed in the laboratory.
The analysis of the skin swab allows you to plan an appropriate therapy for the case, which is able to avoid the recurrence of the infection.


The medical history is important because it allows the doctor to trace the causes of the gyratory and understand if the patient suffers from cold sores or genital herpes.
Knowing the causes of the whip allows you to establish an effective cure.


Generally, the gnat heals spontaneously – therefore without the use of particular treatments – within 2-3 weeks .
The use of specific treatments – in this case the administration of an antiviral drug known as acyclovir – occurs when the infection triggered by the gyno is severe and the symptoms show no signs of improving.
It is important to point out that, before using a drug like acyclovir, you should consult your doctor and rely on his advice.


If the symptoms of the turntable are particularly annoying or intense (medium-high fever, acute pain, etc.), doctors tend to advise:

  • Taking analgesics (i.e. pain relievers), such as ibuprofen or paracetamol . These medicines relieve pain and reduce fever.
  • The application of anesthetics , such as lidocaine or prilocaine . These medicines reduce itching and pain.


Typically, the turntable disappears less than a month after its appearance.
For cases of gyratory resulting from cold sores or genital herpes, there is a real risk of recurrence, especially in the absence of treatment against the triggering conditions.


To reduce the risk of developing gynecologists, doctors recommend:

  • Avoid contact with sores resulting from a cold sore or genital herpes.
  • Wash your hands frequently .
  • Practice safe sex.
  • If you practice a healthcare profession (dentist, nurse, etc.), always wear latex gloves .
  • Avoid direct contact with people affected by thumbs.

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