Most people experience herpetic whitlows only once, although recurrent infections are possible and can last seven to ten days from the appearance of the first symptoms until the rash heals. The warning symptoms — burning, itching, or tingling — are still felt, but blisters appear in approximately 24 hours. Recurrent HSV infections are triggered by events such as fever or illness, sun exposure, stress, trauma, surgery, and hormonal changes. The latter frequently occur during menstrual cycles, menopause, or pregnancy.

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