Blister-type Distal Phalangitis

Blister-type distal phalangitis (acute blistering dactylitis) is acute streptococcal infection of finger pad, presenting with painful tense blister on volar finger, fever, lymphangitis, in children. Treatment: oral anti-strep antibiotics (penicillin/amoxicillin/cephalexin); incision/drainage if fluctuant; elevate; wound care; monitor for osteomyelitis/sepsis; follow-up.

Common Symptoms

Painful tense finger blister; fever; lymphangitis; children; strep

Causes and Pathogenesis

Streptococcal inoculation into finger pad causes blistering infection.

Treatment

Anti-strep antibiotics; drainage if fluctuant; elevate

Preventive Measures

Wound care; avoid finger trauma.

Department to Visit

It is recommended to visit the Dermatology/Pediatrics/Orthopedics/Emergency department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.