[Question #5563] Whitlow? or something else?

21 months ago
Visited a strip club for a bachelor party 7 days ago. Had a private 10 minute lap dance. I was completely clothed but the dancer was not. No sex of any kind. No digital penetration. However, my fingers/hands touched outside the dancers intimate areas a lot. I felt some vaginal fluid on fingers. No cuts/scrapes on fingers. Not sure of the status of the dancer regarding STIs.

From reading the boards, I know this was a no-risk event. I wouldn't even post on here if it weren't for two things:
1. I've noticed for the last 48 hours a small dark (not black, looks more like a bruise color) spot on the finger-print side (thicker skin) of my pinky. It has not changed in size or color and seems to be a few layers deep. It doesn't hurt unless stimulated (if I press on it, it gives off a dull pain, again like a bruise).
2. Similar pain on touch on the tip of the middle finger (from the finger print area to the nail bed). This has also been for about 48-60 hours. 

Both of these are on my non-dominant hand so I can't think of any direct trauma that would've caused this. Nonetheless, there's only dull pain on stimulation and no blisters/bumps (yet). Since it's been 7 days and these potential "prodromal" symptoms haven't really changed, is it safe to assume HSV1/2 is not at play here? I've read that prodromal HSV symptoms shouldn't last for more than 24 hours. Are there other STIs that may show up like this? I understand the region of my hand that I'm referring to has thick skin that was unbroken so it's tough for anything to penetrate, but just wanted some reassurance. I'm a bit of a hypochondriac so I can't help but assume the worst.

Thanks!
21 months ago
I’d like to add that the pain on stimulation hasn’t gotten better over time, unlike other pains I’ve felt over the years. Though I attribute some of it to hypersensitivity and anxiety, it’s weird how it’s just in 2 fingers.
21 months ago
Also, all my previous lab work, including my most recent which was about 2 months ago, is negative for everything including HSV-1. I’m in a monogamous relationship. Thanks again for your help
21 months ago
Hi Drs.
I don’t mean to be a pain but it’s been over 48 hours. Can I get a response? Thank you so much. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
21 months ago
Good morning, nothing that you have described above - not the contact nor the "symptoms" that you describe sound anything at all like herpes to me.  As you already know, I think, the skin of the intact hand is far too thick for virus to penetrate and cause whitlow.  The activity at the strip club presents zero risk to you of any sexually transmitted infection at all.  Please be reassured that you are safe to resume a sexual relationship with your regular partner without any worry at all.

Terri Warren
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21 months ago
Thank you very much for your prompt response and the service that you provide. I feel a lot more assured.
21 months ago
Hello just a single set of follow up questions before you close this thread:
1. The stimulated pain on the nailbed/middle finger has transitioned from dull to sharp (no pain unless I push on the nail). Does that indicate anything in the realm of STIs?
2. How long do prodromal symptoms last? Since it’s been over 72 hours without change, I’m assuming the source of pain must be something else. And now that it’s been 9 days since the incident without any visible sores, I’m pretty confident like you said it’s not HSV. 

Thank you again
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
21 months ago
1. The stimulated pain on the nailbed/middle finger has transitioned from dull to sharp (no pain unless I push on the nail). Does that indicate anything in the realm of STIs?

Without any skin presentation, like blistering, I think it is extremely unlikely that this has anything at all to do with an STI

2. How long do prodromal symptoms last? Since it’s been over 72 hours without change, I’m assuming the source of pain must be something else. And now that it’s been 9 days since the incident without any visible sores, I’m pretty confident like you said it’s not HSV.

Prodrome can last a few days prior to sores appearing.   I am also quite confident that this is not HSV as well.  Obviously, if you start getting some sort of blistering of the finger, you should have it checked out and swab tested but honestly, I would be totally shocked if that happened, especially at this point in time.

terri

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21 months ago
Thank you Dr. 

The pain is only on stimulation and completely disappears after a second. And if I place it in warm water it doesn’t even occur on stimulation. So this, combined with the minimal risk to begin with and now 10 days post exposure without blistering (and of course your experience) tells me it’s definitely something else.  Thank you again for your time and limitless patience. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
21 months ago
you are most welcome

Terri
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