DermNet provides Google Translate, a free machine translation service. Note that this may not provide an exact translation in all languages. Paronychia is inflammation of the skin around a finger or toenail. Paronychia is also called whitlow.
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DermNet provides Google Translate, a free machine translation service. Note that this may not provide an exact translation in all languages. Paronychia is inflammation of the skin around a finger or toenail. Paronychia is also called whitlow. It may be associated with felon infection of the pulp of the fingertip. Acute paronychia can affect anyone.
For example:. Chronic paronychia mainly occurs in people with hand dermatitis , or who have constantly cold and wet hands, such as:. Acute and chronic skin infections tend to be more frequent and aggressive in patients with diabetes or chronic debility, or that are immune suppressed by drugs or disease.
It can also be due to the cold sore virus, Herpes simplex , and the yeast, Candida albican s. The cause or causes of chronic paronychia are not fully understood. In many cases, it is due to dermatitis of the nail fold. Often several different micro- organisms can be cultured, particularly Candida albicans and the Gram-negative bacilli, pseudomonas. Acute paronychia develops rapidly over a few hours, and usually affects a single nail fold. Symptoms are pain, redness and swelling.
If herpes simplex is the cause, multiple tender vesicles may be observed. Sometimes yellow pus appears under the cuticle and can evolve to abscess.
The nail plate may lift up onycholysis. Acute paronychia due to S. Acute paronychia Acute staphylococcal paronychia. Chronic paronychia is a gradual process.
It may start in one nail fold, particularly the proximal nail fold, but often spreads laterally and to several other fingers. Each affected nail fold is swollen and lifted off the nail plate. This allows the entry of organisms and irritants. The affected skin may be red and tender from time to time, and sometimes a little pus white, yellow or green can be expressed from under the cuticle.
The nail plate thickens and is distorted, often with transverse ridges. Chronic paronychia Nailfold swelling. Acute paronychia can spread to cause a serious hand infection cellulitis and may involve underlying tendons infectious tendonitis. The main complication of chronic paronychia is nail dystrophy.
It is often associated with distorted, ridged nail plates. After recovery, it takes up to a year for the nails to grow back to normal. Acute paronychia usually clears completely in a few days, and rarely recurs in healthy individuals. Chronic paronychia may persist for months or longer and can recur in predisposed individuals. See smartphone apps to check your skin. DermNet NZ does not provide an online consultation service. If you have any concerns with your skin or its treatment, see a dermatologist for advice.
References Relhan, Vineet, et al. Management of chronic paronychia. Indian journal of Dermatology Efficacy and safety of tacrolimus ointment 0. Br J Dermatol. Eponychial marsupialization and nail removal for surgical treatment of chronic paronychia. J Hand Surg Am ; Swiss roll technique for treatment of paronychia.
Tech Hand Surg ;
Adverse event management: paronychia
Management of Chronic Paronychia
Paronychia is a nail infection that is an often tender bacterial or fungal infection of the hand or foot, where the nail and skin meet at the side or the base of a finger or toenail. The infection can start suddenly acute paronychia or gradually chronic paronychia. The skin typically presents as red, itchy, and hot, along with intense pain. Pus is usually present, along with gradual thickening and browning discoloration of the nail plate.