The Early Report of Herpetic Whitlow by Bahal-Dawlah Razi in 15th Century CE

Infez Med. 2020 Sep 1;28(3):450-452.

Abstract

A herpetic whitlow is a lesion (whitlow) on a finger or thumb caused by herpes simplex virus. It is a painful infection that typically affects the fingers or thumbs. Occasionally infection occurs on the toes or on the nail cuticle. Symptoms of herpetic whitlow include tenderness, swelling and reddening of the infected finger skin, fever and swollen lymph nodes. Although, it is believed that the first recorded observations were in 1909 CE by H. G. Adamson, in the medieval period, Bah?' al-Dawlah N?rbakhsh? Razi (1501 CE) described herpetic whitlow, under the title of Dakhes in Khulasat al-Tajarib (The Summary of Experience), his book on medicine. Some of Baha al-Dawlah's descriptions and his etiology of Dakhes are based on humoral theories and cannot be concurred with current medical concepts, but more symptoms and clinical manifestations are consistent with current definitions. It seems the earliest description of herpetic whitlow in the medical history.

Publication types

  • Historical Article

MeSH terms

  • Fingers
  • Hand Dermatoses / history*
  • Hand Dermatoses / virology*
  • Herpes Simplex / history*
  • History, 15th Century
  • Humans
  • Persia