Immobilization, elevation, analgesia
Antivirals such as Acyclovir or Valacyclovir may shorten duration of infection
Topical acyclovir 5% shortens duration and viral shedding in primary infection
Oral acyclovir dosing - 800mg BID initiated during prodrome may prevent recurrence
Application of clean dressings to involved digits is important to prevent autoinoculation or spread to other individuals
Herpetic whitlow
Bed bugs
Tinea capitis
Closed fist infection 
Phytophotodermatitis
Digital Mixoid Cyst 
Tinea corporis
Hand cellulitis