简介婴儿的疱疹性白斑很少见。以前的作者只报告了个别病例报告。我们介绍了六个婴儿的病例系列。材料与方法这是一项回顾性研究,对高级作者(MMA)在过去23年(包括1995-2017年)中看到的6例婴儿疱疹性白斑进行了回顾性研究。收集了以下数据:年龄,性别,手指参与到手中,传输模式,提交给作者的时间,临床表现,继发细菌感染的存在,手外有其他病变,诊断方法,治疗,和结果。结果所有6名婴儿最初都出现了经典的多个数字牙髓囊泡。在所有情况下,母亲有活动性唇疱疹的病史。囊泡的切开和引流或脱毛(用于诊断目的)导致继发性细菌感染。结论本报告是有关婴儿疱疹性美白的文献中的第一个系列。我们强调传播方式(来自母亲)并在临床上建立诊断。在这些情况下,不需要获得病毒培养物或聚合酶链反应;并且不需要药物。一旦囊泡被破坏,继发细菌感染很常见,需要口服阿昔洛韦和静脉注射抗生素。
Introduction Herpetic whitlows in infants are rare. Previous authors only reported individual case reports. We present a case series of six infants. Materials and Methods This is a retrospective study of six cases of herpetic whitlows in infants seen by the senior author (MMA) over the past 23 years (1995-2017 inclusive). The following data were collected: age, sex, digit involved in the hand, mode of transmission, time of presentation to the author, clinical appearance, presence of secondary bacterial infection, presence of other lesions outside the hand, method of diagnosis, treatment, and outcome. Results All six infants initially presented with classic multiple vesicles of the digital pulp. In all cases, there was a history of active herpes labialis in the mother. Incision and drainage or deroofing of the vesicles (for diagnostic purposes) resulted in secondary bacterial infection. Conclusion The current report is the first series in the literature on herpetic whitlows in infants. We stress on the mode of transmission (from the mother) and establishing the diagnosis clinically. In these cases, no need for obtaining viral cultures or polymerase chain reaction; and no medications are required. Once the vesicles are disrupted, secondary bacterial infection is frequent and a combination of oral acyclovir and intravenous antibiotics will be required.