How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Muneeb Ali Your Own Question
Dr. Muneeb Ali
Dr. Muneeb Ali, Doctor
Category: Dermatology
Satisfied Customers: 6717
Experience:  MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine
Type Your Dermatology Question Here...
Dr. Muneeb Ali is online now
A new question is answered every 9 seconds

I have a herpetic Whitley breakout on my index finger. It's

Customer Question

I have a herpetic Whitley breakout on my index finger. It's very swollen won't bend much. Never had this happen. I also have swelling in top of hand and arm burning tingling in arm and arm pit in veins . Iv had blood clot b4 that done this same thing w out the breakout. Would the hw cause this also
JA: How long have you been dealing with the burning? Are you experiencing any other discomfort?
Customer: Literally woke up like this wasn't there last night
JA: Anything else in your medical history you think the doctor should know?
Customer: I have psoriatic arth and am on injections for that
Submitted: 9 months ago.
Category: Dermatology
Expert:  Dr. Muneeb Ali replied 9 months ago.


Im sorry to hear about your symptoms. Can i ask do you have any redness in the arm or hand? What injections are you on for psoriatic arthritis?

Expert:  Dr. Muneeb Ali replied 9 months ago.

Since you seem to be offline, ill leave a response here which we can discuss later on.

Now from what you are describing it sounds like that the infection has spread to the hand and may be spreading upwards into the arm. The swollen hand and the burning pain can indicate that you are developing cellulitis of the hand which may move on to infect the arm as well. Secondly this sounds like a bacterial infection more than herpetic whitlow. It is possible that you may have had herpecti whitlow to start with however there can now be a superimposed bacterial infection on top of it which is spreading rapidly. Secondly it is possible that since you are on injections for the psoriatic arthritis (which i assume are biologic agents like cimzia etc) your immunity could have been compromised and you can get bacterial infections much more easily.

Given the situation i would STRONGLY suggest that you have this evaluated as soon as possible, i think you need immediate antibiotic therapy to control the infection and you should also get a doppler ultrasound done as well. This would help rule out a blood clot as well, it is more likely that you have superficial blood clots in the small veins which can cause the burning pain. This can occur in severe infections and in such a situation usually antibiotics are more than enough to treat the problem.

But this does require immediate medical intervention and i would not advise that you treat this at home especially since the hand is swollen as well.

Do you have any more questions?

Please leave a POSITIVE rating by clicking on the stars above, until you do i am not compensated for my time. You can continue to ask follow-up questions even after the POSITIVE rating. You can also ask questions from me directly by going on the link below,

Related Dermatology Questions