The lymphatic complications of acute herpetic whitlow are well described and consist of edema and erythematous streaking of the forearm with epitroclear and/or axillary lymphadenopathy and usually resolve within 21 days.1 Persistent acquired lymphedema of the hand and forearm due to herpes simplex virus (HSV) has only been reported once before.2 We report a second case of persistent lymphedema of the forearm and hand in which the herpetic nature of the problem was discovered only after an extensive evaluation of acquired lymphedema was performed.
Butler DF, Malouf PJ, Batz RC, Stetson CL. Acquired Lymphedema of the Hand Due to Herpes Simplex Virus Type 2. Arch Dermatol. 1999;135(9):1125-1126. doi:10-1001/pubs.Arch Dermatol.-ISSN-0003-987x-135-9-dlt0999