What are the common causes of paronychia. How can you identify the symptoms of a nail bed infection. What are the most effective treatments for paronychia. When should you seek medical attention for an infected nail.

Understanding Paronychia: A Common Nail Infection

Paronychia is a prevalent infection that affects the soft tissue surrounding the nail. It can occur on both fingernails and toenails, causing discomfort and potential complications if left untreated. This condition is often the result of minor trauma to the nail area, such as aggressive manicuring or constant exposure to moisture.

The infection typically manifests as redness, swelling, and tenderness around the nail fold. In some cases, a small collection of pus may form, leading to more severe symptoms. Understanding the nature of paronychia is crucial for early detection and prompt treatment.

Identifying the Types of Paronychia

Paronychia can be classified into two main types: acute and chronic. Each type has distinct characteristics and requires different approaches to treatment.

Acute Paronychia

Acute paronychia develops rapidly, often within a matter of days. It is typically caused by bacterial infections, with Staphylococcus aureus being the most common culprit. This form of paronychia is often associated with a sudden onset of pain, redness, and swelling around the nail fold.

Chronic Paronychia

Chronic paronychia, on the other hand, is a persistent condition that can last for several weeks or even months. It is often associated with repeated irritation or exposure to irritants, such as frequent hand-washing or exposure to chemicals. Fungal infections, particularly those caused by Candida species, are common in chronic paronychia.

Common Causes and Risk Factors for Paronychia

Understanding the causes and risk factors associated with paronychia can help in prevention and early intervention. Some of the most common causes include:

• Nail biting or picking at the cuticles
• Excessive exposure to water or harsh chemicals
• Manicures or pedicures with unsterile tools
• Ingrown nails
• Trauma to the nail or surrounding skin

Certain occupations and medical conditions can increase the risk of developing paronychia. These include:

• Healthcare workers and others who frequently wash their hands
• Individuals with diabetes or compromised immune systems
• People who work with water or chemicals regularly
• Those with a history of nail disorders or skin conditions

Recognizing the Symptoms of Paronychia

Early recognition of paronychia symptoms is crucial for timely treatment and prevention of complications. The most common signs and symptoms include:

• Redness and swelling around the nail
• Tenderness or pain when touching the affected area
• Warmth in the surrounding skin
• Pus accumulation or drainage
• Changes in nail shape or color
• Difficulty performing tasks with the affected finger or toe

Is it possible for paronychia to resolve on its own. While mild cases of acute paronychia may sometimes improve without treatment, it’s generally recommended to seek medical attention to prevent potential complications and ensure proper healing.

Diagnosis and Medical Evaluation of Paronychia

Diagnosing paronychia typically involves a physical examination by a healthcare professional. They will assess the affected nail and surrounding tissue, looking for characteristic signs of infection. In some cases, additional tests may be necessary to determine the underlying cause and guide treatment.

Physical Examination

During the physical examination, the healthcare provider will carefully inspect the nail and surrounding area for signs of inflammation, swelling, and pus formation. They may gently press on the affected area to assess tenderness and check for any discharge.

Laboratory Tests

In cases of severe or recurrent paronychia, the doctor may recommend laboratory tests to identify the specific pathogen causing the infection. These tests may include:

• Bacterial culture: A sample of pus or fluid from the infected area is collected and tested to identify the bacteria responsible for the infection.
• Fungal culture: If a fungal infection is suspected, a sample may be taken to identify the specific type of fungus involved.
• Nail clipping analysis: In cases of chronic paronychia, a small piece of the affected nail may be examined under a microscope to look for signs of fungal infection.

Treatment Options for Paronychia

The treatment approach for paronychia depends on the severity of the infection and whether it is acute or chronic. In many cases, a combination of home remedies and medical interventions may be necessary to effectively resolve the condition.

Home Remedies and Self-Care

For mild cases of acute paronychia, the following self-care measures may be helpful:

• Warm water soaks: Soaking the affected nail in warm water for 15-20 minutes, 3-4 times a day, can help reduce inflammation and promote drainage.
• Over-the-counter pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and reduce inflammation.
• Avoiding irritants: Protecting the affected area from further trauma or exposure to irritants is crucial for healing.
• Proper nail care: Keeping nails clean and dry, and avoiding biting or picking at the cuticles can prevent further infection.

Medical Treatments

For more severe cases or when home remedies are ineffective, medical interventions may be necessary. These can include:

• Topical antibiotics: For mild bacterial infections, antibiotic ointments or creams may be prescribed.
• Oral antibiotics: In cases of more severe bacterial infections, oral antibiotics may be necessary.
• Antifungal medications: For fungal infections, topical or oral antifungal drugs may be prescribed.
• Corticosteroids: In some cases of chronic paronychia, topical corticosteroids may be used to reduce inflammation.
• Drainage: If an abscess has formed, a healthcare provider may need to drain the pus to promote healing.

Can paronychia be treated without antibiotics. In some mild cases, particularly those caused by fungal infections or minor irritation, paronychia may be managed without antibiotics. However, it’s essential to consult a healthcare professional for proper diagnosis and treatment recommendations.

Prevention Strategies for Paronychia

Preventing paronychia involves maintaining good nail hygiene and avoiding factors that can increase the risk of infection. Here are some effective prevention strategies:

• Keep nails clean and dry: Regularly clean your nails and the surrounding skin, and thoroughly dry your hands and feet after washing or swimming.
• Avoid nail biting and cuticle picking: These habits can introduce bacteria into the nail fold and increase the risk of infection.
• Use protective gloves: When working with water or chemicals, wear gloves to protect your nails and surrounding skin from irritation and moisture.
• Practice proper manicure and pedicure techniques: If you get professional nail care, ensure that the tools used are properly sterilized. If doing it yourself, be gentle and avoid cutting the cuticles.
• Manage underlying conditions: If you have diabetes or other conditions that increase your risk of infection, work with your healthcare provider to keep these conditions under control.
• Trim nails properly: Cut your nails straight across and avoid trimming them too short or rounding the edges, which can lead to ingrown nails.

Are certain individuals more prone to developing paronychia. Yes, people with weakened immune systems, those who frequently expose their hands to water or chemicals, and individuals with certain medical conditions like diabetes may be more susceptible to paronychia. Taking extra precautions and maintaining good nail hygiene is especially important for these individuals.

Complications and When to Seek Medical Attention

While many cases of paronychia can be managed with home care or over-the-counter treatments, certain situations require prompt medical attention. Being aware of potential complications and knowing when to seek help is crucial for preventing more serious issues.

Potential Complications

If left untreated or improperly managed, paronychia can lead to several complications, including:

• Spread of infection: The infection may spread to deeper tissues, potentially affecting the entire finger or toe.
• Permanent nail damage: Chronic or severe infections can cause permanent changes to the nail’s appearance or structure.
• Abscess formation: A collection of pus may form under the skin, requiring drainage.
• Osteomyelitis: In rare cases, the infection can spread to the bone, causing a serious condition called osteomyelitis.
• Sepsis: Although extremely rare, severe infections can potentially lead to sepsis, a life-threatening condition.

When to Seek Medical Help

You should consult a healthcare professional if you experience any of the following:

• Severe pain or swelling that interferes with daily activities
• Signs of pus or abscess formation
• Redness or swelling that extends beyond the immediate nail area
• Fever or chills, which may indicate a more severe infection
• Symptoms that persist or worsen despite home treatment
• Recurrent episodes of paronychia
• Any signs of infection in individuals with diabetes or compromised immune systems

How quickly should you expect improvement after starting treatment for paronychia. With proper treatment, mild cases of acute paronychia often show improvement within a few days. However, more severe or chronic cases may take several weeks to fully resolve. If you don’t notice any improvement after 2-3 days of treatment, or if symptoms worsen, it’s important to follow up with your healthcare provider.

Living with Chronic Paronychia: Management and Lifestyle Adjustments

For individuals dealing with chronic paronychia, long-term management strategies and lifestyle adjustments are often necessary to control symptoms and prevent recurrences. Here are some key considerations for living with chronic paronychia:

Ongoing Care and Maintenance

• Regular moisturizing: Keep the skin around your nails well-moisturized to prevent dryness and cracking, which can lead to infection.
• Protective measures: Use barrier creams or ointments to protect your nails and surrounding skin from irritants and moisture.
• Nail hygiene: Maintain proper nail care routines, including gentle cleaning and avoiding aggressive manicuring techniques.
• Medication adherence: If prescribed long-term topical treatments, use them consistently as directed by your healthcare provider.

Lifestyle Modifications

Managing chronic paronychia often requires making certain lifestyle changes to minimize risk factors:

• Occupational adjustments: If your job involves frequent hand-washing or exposure to irritants, consider using protective gloves or changing tasks when possible.
• Stress management: Chronic stress can affect your immune system and potentially exacerbate skin conditions. Implement stress-reduction techniques like meditation or regular exercise.
• Dietary considerations: While not directly linked to paronychia, maintaining a balanced diet rich in vitamins and minerals can support overall skin health and immune function.
• Avoiding triggers: Identify and avoid activities or substances that seem to trigger or worsen your symptoms.

Can chronic paronychia be completely cured. While chronic paronychia can be challenging to eliminate entirely, many people can achieve significant improvement and long periods of remission with proper management and lifestyle adjustments. Working closely with a dermatologist or hand specialist can help develop an effective long-term treatment plan.

Alternative and Complementary Approaches to Paronychia Management

While conventional medical treatments are the primary approach for managing paronychia, some individuals may explore alternative or complementary therapies to support healing and prevent recurrences. It’s important to note that these approaches should be used in conjunction with, not as a replacement for, standard medical care.

Natural Remedies

Several natural remedies have been suggested to help manage paronychia symptoms:

• Tea tree oil: Known for its antimicrobial properties, diluted tea tree oil may help combat bacterial and fungal infections.
• Apple cider vinegar soaks: The acidic nature of apple cider vinegar may help create an environment less favorable for bacterial growth.
• Garlic: Applied topically or consumed, garlic has natural antibacterial properties that may support healing.
• Turmeric paste: The anti-inflammatory properties of turmeric may help reduce swelling and pain.

Is there scientific evidence supporting these natural remedies for paronychia. While some of these remedies have shown antimicrobial properties in laboratory studies, there is limited clinical evidence specifically for their use in treating paronychia. It’s crucial to consult with a healthcare provider before trying any alternative treatments.

Nutritional Support

A balanced diet rich in certain nutrients may support overall skin health and immune function, potentially aiding in the management of paronychia:

• Vitamin C: Supports collagen production and immune function.
• Zinc: Plays a role in wound healing and immune system support.
• Omega-3 fatty acids: May help reduce inflammation.
• Probiotics: Can support overall immune health.

Stress Reduction Techniques

Chronic stress can impact skin health and immune function. Incorporating stress-reduction techniques may be beneficial:

• Mindfulness meditation
• Yoga or tai chi
• Deep breathing exercises
• Regular physical activity

While these complementary approaches may offer some benefits, it’s essential to remember that they should not replace proper medical care for paronychia. Always consult with a healthcare professional for appropriate diagnosis and treatment.

140+ Fotos, Bilder und lizenzfreie Bilder zu Paronychia

Bilder

• Bilder
• Fotos
• Grafiken
• Vektoren
• Videos

Videos zu paronychia ansehen

Durchstöbern Sie 141

paronychia Stock-Fotografie und Bilder. Oder starten Sie eine neue Suche, um noch mehr Stock-Fotografie und Bilder zu entdecken.

Sortieren nach:

Am beliebtesten

paronychie-erkrankung des fingernagels – paronychia stock-fotos und bilder

Paronychie-Erkrankung des Fingernagels

akute paronychie am großen zeh und fußpilz oder tinea pedis zwischen den zehen des südostasiatischen mannes. – paronychia stock-fotos und bilder

Akute Paronychie am großen Zeh und Fußpilz oder Tinea pedis. ..

antike botanische pflanzenillustration: paronychia argyrocoma, silberne pfingstwurz – paronychia stock-grafiken, -clipart, -cartoons und -symbole

Antike botanische Pflanzenillustration: Paronychia argyrocoma,…

Antike botanische Pflanzendarstellung: Paronychia argyrocoma, Silber-Weißkraut

selektiver fokus auf blutende finger aufgrund eingewachsener nägel. auf indonesisch heißt es cantengan. paronychie-krankheit. – paronychia stock-fotos und bilder

Selektiver Fokus auf blutende Finger aufgrund eingewachsener Nägel

paronychie in der rechten hand – paronychia stock-fotos und bilder

Paronychie in der rechten Hand

krankenschwester kümmert sich um patienten nach nagel betrieb – paronychia stock-fotos und bilder

Krankenschwester kümmert sich um Patienten nach Nagel Betrieb

paronychia argentea, umgangsprachlich silbernagelwurzel genannt – paronychia stock-fotos und bilder

Paronychia argentea, umgangsprachlich Silbernagelwurzel genannt

paronychie am daumen der asiatischen älteren frau. – paronychia stock-fotos und bilder

Paronychie am Daumen der asiatischen älteren Frau.

pilzinfektion genannt tinea pedis und paronychie an den zehen der asiatischen frau. – paronychia stock-fotos und bilder

Pilzinfektion genannt Tinea pedis und Paronychie an den Zehen…

paronychia-infektion von finger – paronychia stock-fotos und bilder

Paronychia-Infektion von finger

Finger mit einer Paronychie-Infektion. Paronchia ist ziemlich häufig und wird oft durch Verletzungen verursacht, die beim Picken eines Hangnagels oder beim Trimmen der Nagelhaut auftreten. Zu den Symptomen gehören Schmerzen, Schwellungen und Rötungen um den Nagel herum. Bei einer bakteriellen Infektion kann es zu mit Eiter gefüllten Blasen kommen. Die Infektion kann akut sein und schnell oder chronisch auftreten und langsamer auftreten.

entzündung des asiatischen mannes, der mit finger und hand zeigt. konzept der paronychie und fingerprobleme. – paronychia stock-fotos und bilder

Entzündung des asiatischen Mannes, der mit Finger und Hand zeigt.

pilzinfektion namens tinea pedis und paronychie an den zehen – paronychia stock-fotos und bilder

Pilzinfektion namens Tinea pedis und Paronychie an den Zehen

entzündung an der spitze des fingernagels. konzept der paronychie am daumen des asiatischen mannes. schmerzhafter finger. – paronychia stock-fotos und bilder

Entzündung an der Spitze des Fingernagels. Konzept der…

entzündung an der spitze des fingernagels. konzept der paronychie am daumen des asiatischen mannes. schmerzhafter finger. – paronychia stock-fotos und bilder

Entzündung an der Spitze des Fingernagels. Konzept der…

krankenschwester kümmert sich um patienten nach nagel betrieb – paronychia stock-fotos und bilder

Krankenschwester kümmert sich um Patienten nach Nagel Betrieb

paronychia concepnt vector for medical blog, app, banner. nagelentzündung, die aus trauma, reizung oder infektion resultieren kann. – paronychia stock-grafiken, -clipart, -cartoons und -symbole

Paronychia concepnt vector for medical blog, app, banner. …

nahaufnahme einer paronychie – paronychia stock-fotos und bilder

Nahaufnahme einer Paronychie

flora von gran canaria – paronychia canariensis, kanarisches nagelkraut – paronychia stock-fotos und bilder

Flora von Gran Canaria – Paronychia canariensis, kanarisches…

Flora von Gran Canaria – Paronychia canariensis, kanarisches Nagelkraut, natürlicher makrofloraler Hintergrund

krankenschwester kümmert sich um patienten nach nagel betrieb – paronychia stock-fotos und bilder

Krankenschwester kümmert sich um Patienten nach Nagel Betrieb

flora von gran canaria – paronychia canariensis, kanarisches nagelkraut – paronychia stock-fotos und bilder

Flora von Gran Canaria – Paronychia canariensis, kanarisches…

Flora von Gran Canaria – Paronychia canariensis, kanarisches Nagelkraut, natürlicher makrofloraler Hintergrund

die häufigsten nagelerkrankungen und krankheiten. großes set. vektor-illustration – paronychia stock-grafiken, -clipart, -cartoons und -symbole

Die häufigsten Nagelerkrankungen und Krankheiten. Großes Set….

paronychia, geschwollene finger mit fingernagel bett entzündung durch bakterielle infektion auf eine kleinkinder-hand. – paronychia stock-fotos und bilder

Paronychia, geschwollene Finger mit Fingernagel Bett Entzündung…

Paronychie, geschwollener Finger mit Fingernagelbettentzündung aufgrund einer bakteriellen Infektion an der Hand eines Kleinkindes. Finger geschwollen mit Entzündung aufgrund von Nagel gerissen Infektion.

krankenschwester kümmert sich um patienten nach nagel betrieb – paronychia stock-fotos und bilder

Krankenschwester kümmert sich um Patienten nach Nagel Betrieb

fuß mit eingewachsenem zehennagel. krankheit, pilz oder entzündungen in fingernägeln. lupe zoomproblembereich mit eus und blut. richtige pediküre, körperpflege. onychomykose, paronychia-krankheit. – paronychia stock-grafiken, -clipart, -cartoons und -symbole

Fuß mit eingewachsenem Zehennagel. Krankheit, Pilz oder Entzündung

Vektor im flachen Stil

fingernagel bett entzündungen, bakterien–infektion – paronychia stock-fotos und bilder

Fingernagel Bett Entzündungen, Bakterien–Infektion

Paronychie, geschwollener Finger mit Fingernagelbettentzündung aufgrund einer bakteriellen Infektion an der Hand eines Kleinkindes.

krankenschwester kümmert sich um patienten nach nagel betrieb – paronychia stock-fotos und bilder

Krankenschwester kümmert sich um Patienten nach Nagel Betrieb

paronychia, geschwollener finger mit fingernagelbett entzündung durch bakterielle infektion auf eine kleinkindhand – paronychia stock-fotos und bilder

Paronychia, geschwollener Finger mit Fingernagelbett Entzündung…

abbildung der psoriasis zehennägel – paronychia stock-grafiken, -clipart, -cartoons und -symbole

Abbildung der Psoriasis Zehennägel

keine krankheit pilz nagel – paronychia stock-grafiken, -clipart, -cartoons und -symbole

Keine Krankheit Pilz Nagel

mann wird geprüft – paronychia stock-fotos und bilder

Mann wird geprüft

nahaufnahme eines großen zehens mit einem entzündeten nagelbett (paronychia / panaritium) – paronychia stock-fotos und bilder

Nahaufnahme eines großen Zehens mit einem entzündeten Nagelbett (p

onychomykose oder nagelpilzinfektion an beschädigten nägeln nach gellack, onykose. längs reibende nägel mit psoriasis, nagelerkrankungen. gesundheits- und schönheitsproblem – paronychia stock-fotos und bilder

Onychomykose oder Nagelpilzinfektion an beschädigten Nägeln nach…

paronychie, geschwollener finger mit fingernagelbettentzündung aufgrund einer bakteriellen infektion an der hand eines mannes. finger geschwollen mit entzündung. – paronychia stock-fotos und bilder

Paronychie, geschwollener Finger mit Fingernagelbettentzündung…

junge frau, die eine maniküre nach panaritium-behandlung macht – paronychia stock-fotos und bilder

junge Frau, die eine Maniküre nach Panaritium-Behandlung macht

botanik pflanzen antik gravur abbildung: paronychia capitata – paronychia stock-grafiken, -clipart, -cartoons und -symbole

Botanik Pflanzen Antik Gravur Abbildung: Paronychia Capitata

paronychia capitata blüht. – paronychia stock-fotos und bilder

Paronychia capitata blüht.

nahaufnahme eines roten, entzündeten, schmerzhaften zehens – paronychia stock-fotos und bilder

Nahaufnahme eines roten, entzündeten, schmerzhaften Zehens

entzündetes naikbett auf einem großen zehen (paronychia / panaritium) – paronychia stock-fotos und bilder

entzündetes Naikbett auf einem großen Zehen (paronychia /. ..

entzündetes Nagelbett (Paronychie / Panaritum) aufgrund eines Mikotraumas oder eines eingewachsenen Nagels; Sony DSLR, Tamron 90mm

krankenschwester kümmert sich um patienten nach nagel betrieb – paronychia stock-fotos und bilder

Krankenschwester kümmert sich um Patienten nach Nagel Betrieb

serie von schmerzhaften fingernagen-nagelhautentzündung infektion mit eiter-reatment – paronychia stock-fotos und bilder

Serie von schmerzhaften Fingernagen-Nagelhautentzündung…

Serie von Nahaufnahmen schmerzhafter Fingernagel-Hautinfektionen mit Eiter und Behandlung

finger nagel-infektion – illustration – paronychia stock-grafiken, -clipart, -cartoons und -symbole

Finger Nagel-Infektion – Illustration

foto mit niedrigen oder paronichia oder cantengan in indonesia sprache an der hand links, isoliert auf weiß – paronychia stock-fotos und bilder

Foto mit niedrigen oder paronichia oder cantengan in indonesia. ..

krankenschwester kümmert sich um patienten nach nagel betrieb – paronychia stock-fotos und bilder

Krankenschwester kümmert sich um Patienten nach Nagel Betrieb

paronychia cephalotes – paronychia stock-fotos und bilder

Paronychia cephalotes

geschwollen finger mit fingernagel bett entzündungen aufgrund von bakterien – paronychia stock-fotos und bilder

Geschwollen finger mit Fingernagel Bett Entzündungen aufgrund…

Geschwollener Finger mit Fingernagelbettentzündung durch bakterielle Infektion an einer Hand

botanic fia v05 di02 paronychia herniaria – paronychia stock-grafiken, -clipart, -cartoons und -symbole

Botanic FiA v05 Di02 Paronychia herniaria

algerische tee (paronychia argentea) blume – paronychia stock-fotos und bilder

Algerische Tee (Paronychia Argentea) Blume

Nahaufnahme der wunderschönen Algerischen Teeblume (Paronychia argentea).

paronychia argentea, umgangsprachlich silbernagelwurz, silber-whitlow-wort, nevadilla, ist eine pflanze aus der familie der caryophyllen, wächst in sandigen böden (3) – paronychia stock-fotos und bilder

Paronychia argentea, umgangsprachlich Silbernagelwurz, Silber-Whit

nahaufnahme der schmerzhaft enflammed geschädigten trockenen haut am finger – paronychia stock-fotos und bilder

Nahaufnahme der schmerzhaft enflammed geschädigten trockenen. ..

Nahaufnahme von schmerzhaft entzündeter geschädigter trockener Haut am Finger auf weißem Hintergrund

die fingernagelbettentzündung – paronychia stock-fotos und bilder

Die Fingernagelbettentzündung

krankenschwester kümmert sich um patienten nach nagel betrieb – paronychia stock-fotos und bilder

Krankenschwester kümmert sich um Patienten nach Nagel Betrieb

paronychia rugelii — sandquadrate, rugels nagelkraut niedrig wachsende pflanze ist ein guter bodendecker – paronychia stock-fotos und bilder

Paronychia rugelii — Sandquadrate, Rugels Nagelkraut niedrig…

flora von gran canaria – paronychia canariensis – paronychia stock-fotos und bilder

Flora von Gran Canaria – Paronychia canariensis

Flora von Gran Canaria – Paronychia canariensis, kanarisches Nagelkraut

algerische tee (paronychia argentea) flower – paronychia stock-fotos und bilder

Algerische Tee (Paronychia argentea) flower

Nahaufnahme der wunderschönen Algerischen Teeblume (Paronychia argentea).

paronychia-arten chickweed nagelkraut und whitlow würze diese seltsam aussehende schleichende pflanze mit schuppen, die wie silber kunststoff aussehen – paronychia stock-fotos und bilder

Paronychia-Arten Chickweed Nagelkraut und Whitlow Würze diese…

paronychie, nagelinfektion am linken fuß daumen zehennagel – paronychia stock-fotos und bilder

Paronychie, Nagelinfektion am linken Fuß Daumen Zehennagel

hangnails. vektordiagramm für medizinische zwecke – paronychia stock-grafiken, -clipart, -cartoons und -symbole

Hangnails. Vektordiagramm für medizinische Zwecke

antike botanische pflanzenillustration: paronychia sessiliflora, niedriges pfingstkraut – paronychia stock-grafiken, -clipart, -cartoons und -symbole

Antike botanische Pflanzenillustration: Paronychia sessiliflora,…

Antike botanische Pflanzendarstellung: Paronychia sessiliflora, Niedriges Weißkrautkraut

selektiver fokus auf blutende finger aufgrund eingewachsener nägel. auf indonesisch heißt es cantengan. paronychie-krankheit. – paronychia stock-fotos und bilder

Selektiver Fokus auf blutende Finger aufgrund eingewachsener Nägel

akute paronychie und tourniquet am großen zeh des südostasiatischen mannes. – paronychia stock-fotos und bilder

Akute Paronychie und Tourniquet am großen Zeh des südostasiatische

von 3

Paronychia Information | Mount Sinai

Infection – skin around the nail

Paronychia is a skin infection that occurs around the nails.

Candida paronychia produced periungual erythema, edema and nail fold maceration.

A paronychia is an infection around the nail. Many organisms can cause a paronychia. This particular case is caused by the yeast-like organism Candida. Note the inflammation (red, swollen area) at the base of the nail and the changes that are apparent in the nail itself.

Causes

Paronychia is common. It is from injury to the area, such as biting off or picking a hangnail or from trimming or pushing back the cuticle.

The infection is caused by:

• Bacteria
• Candida, a type of yeast
• Other types of fungi

A bacterial and fungal infection can occur at the same time.

Fungal paronychia may occur in people who:

• Have a fungal nail infection
• Have diabetes
• Expose their hands to water a lot

Symptoms

Main symptom is a painful, red, swollen area around the nail, often at the cuticle or at the site of a hangnail or other injury. There may be pus-filled blisters, especially with a bacterial infection.

Bacteria cause the condition to come on suddenly. If all or part of the infection is due to a fungus, it tends to occur more slowly.

Nail changes may occur. For example, the nail may look detached, abnormally shaped, or have an unusual color.

If the infection spreads to the rest of the body, symptoms may include:

• Fever, chills
• Development of red streaks along the skin
• General ill feeling
• Joint pain
• Muscle pain

Exams and Tests

The health care provider can usually diagnose this condition by simply looking at the sore skin.

Pus or fluid may be drained and sent to a laboratory to determine what type of bacteria or fungus is causing the infection.

Treatment

If you have bacterial paronychia, soaking your nail in warm water 2 or 3 times a day helps reduce swelling and pain.

Your provider may prescribe oral antibiotics. In severe cases, your provider may cut and drain the sore with a sharp instrument. Part of the nail may need to be removed.

If you have chronic fungal paronychia, your provider may prescribe antifungal medicine.

Outlook (Prognosis)

Paronychia often responds well to treatment. But, fungal infections may last for several months.

Possible Complications

Complications are rare, but may include:

• Abscess
• Permanent changes in the shape of the nail
• Spread of infection to tendons, bones, or bloodstream

When to Contact a Medical Professional

Call your provider if:

• Paronychia symptoms continue despite treatment
• Symptoms worsen or new symptoms develop

Prevention

To prevent paronychia:

• Care for the nails and the skin around the nails properly.
• Avoid damaging the nails or fingertips. Because the nails grow slowly, an injury can last for months.
• Do not bite or pick the nails.
• Protect the nails from exposure to detergents and chemicals by using rubber or plastic gloves. Gloves with cotton liners are best.
• Bring your own manicure tools to nail salons. Do not allow the manicurist to work on your cuticles.

To minimize the risk for damage to the nails:

• Keep fingernails smooth and trim them weekly.
• Trim toenails about once a month.
• Use sharp manicure scissors or clippers for trimming fingernails and toenails, and an emery board for smoothing the edges.
• Trim nails after bathing, when they are softer.
• Trim fingernails with a slightly rounded edge. Trim toenails straight across and do not cut them too short.
• Do not trim cuticles or use cuticle removers. Cuticle removers can damage the skin around the nail. The cuticle is needed to seal the space between the nail and skin. Trimming the cuticle weakens this seal, which can allow germs to enter the skin and lead to infection.

Andre J, Sass U, Theunis A. Diseases of the nails. In: Calonje E, Brenn T, Lazar AJ, Billings SD, eds. McKee’s Pathology of the Skin. 5th ed. Philadelphia, PA: Elsevier; 2020:chap 23.

Dinulos JGH. Nail diseases. In: Dinulos JGH, ed. Habif’s Clinical Dermatology. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 25.

Leggit JC. Acute and chronic paronychia. Am Fam Physician. 2017;96(1):44-51. PMID: 28671378 pubmed.ncbi.nlm.nih.gov/28671378/.

Mallett RB, Banfield CC. Paronychia. In: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, eds. Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 5th ed. Philadelphia, PA: Elsevier; 2018:chap 182.

Last reviewed on: 4/14/2021

Reviewed by: Elika Hoss, MD, Senior Associate Consultant, Mayo Clinic, Scottsdale, AZ. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

90,000 inflammation of the periungual ridge. treatment in Sumy

Mon.-Fri. 09:00 – 17:00

Sat. 09:00 – 15:00

[email protected]

Ave. M.Lushpy 31A

Sumy

Choose a languageRusUkr

Paronychia is a purulent inflammation of the periungual fold and tissues at the base and sides of the nail. The main reason is infection under the skin as a result of trauma, prolonged exposure to chemicals, or non-compliance with personal hygiene. Also, complications of certain skin, infectious or endocrinological diseases can become the cause of paronychia.

There are several forms of paronychia:

• Tourniolus is the most common form of the disease, characterized by gradually increasing suppuration and an increase in painful symptoms. The form is characteristic of infectious paronychia caused by fungi of the genus Candida or streptococcal infection.
• Erosive and ulcerative forms – develop with syphilis, pemphigus, Duhring’s disease. They are characterized by the appearance of vesicles and ulcers on the skin around the nail, from which “ichor” or pus periodically seeps out. The pathological process often passes to the nail.
• Chronic paronychia is a long-term inflammatory process in which the cuticle may be completely absent, and the nail plate is often thickened or deformed. Chronic paronychia may result from prolonged exposure to chemicals.

Description and symptoms of paronychia

Paronychia begins with swelling and redness of the periungual fold. There is pain and a local increase in temperature. After a while, an abscess and accumulation of pus form.

Further course of the disease leads to spontaneous outpouring of pus from under the nail fold or under the nail plate. In the second case, the nail acquires a yellowish-green color. In some cases, the periungual roller is covered with whitish scales or crusts, ulcers or vesicles.

If left untreated, the disease becomes chronic, in which the nail thickens and deforms. There is a risk of complete loss of the nail plate. Also, the lack of treatment can be fraught with complications such as phlegmon, abscess, tissue necrosis, infection of the tendons, sepsis.

Diagnosis and treatment of paronychia

Only a surgeon can diagnose the disease. In most cases, a simple examination is enough to make a diagnosis. But in order to determine the cause of the disease, it may be necessary to conduct a general blood test, a blood test for sugar and a Wasserman reaction. To exclude a fungal infection, a biopsy of the nail plate is necessary (if the pathological process has affected not only the periungual tissues, but also the nail itself).

Because different causes and forms of paronychia require different treatments, it is recommended that you see a doctor as soon as the first symptoms appear. If treatment is started during the first 3 days from the onset of the disease, it is often possible to do without surgical intervention, using conservative therapy methods.

In case of suppuration, the abscess will need to be opened and drained using outpatient surgery methods. In the clinic of VERBA MEDICAL LLC, this is a minimally invasive operation, using modern ultrasound equipment. The operation can be performed immediately after the diagnosis is confirmed. The next day the patient can return to normal life. But a full recovery can take up to 3 weeks, depending on the causes and degree of the disease, during which observation by a surgeon is required.

To prevent serious complications, make an appointment with the surgeon of the clinic LLC “verba medical” Solodovnik A.V. or Chumak S.A. at the first signs of inflammation or swelling of the periungual tissues.

Panaritium and paronychia – symptoms, diagnosis, treatment methods.

Description

Diagnostics

Treatment Methods

Make an appointment

Panaritium is a purulent inflammatory process in the tissues of the finger. A special case of this disease is paronychia, in which only the periungual roller is affected.

The main causative agent of panaritium is staphylococcus aureus. The bacterium penetrates tissues through microtraumas of the skin obtained in domestic or industrial conditions. Paronychia often occurs after a manicure.

Symptoms

There are several clinical forms of panaritium, each of which has characteristic manifestations. However, in all cases there are some common features. At the beginning of the disease, the skin at the site of the lesion turns red, swelling is formed, and soreness is noted. Over time, swelling increases, pain intensifies, and a purulent focus is formed. Other types of felon may have the following symptoms:

• Cutaneous panaritium. It is formed most often on the nail phalanx. With skin panaritium, an intradermal bubble is formed, which is filled with a cloudy liquid. It may seem that this form is characterized by ease of flow, but often the patient’s general state of health changes and complications such as lymphadenitis, lymphangitis develop.
• Subcutaneous felon. It is the most common form. The disease begins with local redness and slight pain, which grows rapidly, becomes throbbing. Common symptoms include weakness, fever, chills.
• With paronychia, the nail fold swells, turns red, and becomes painful. A common complication of this disease is subungual panaritium. It develops when pus penetrates under the nail plate with untimely medical care.

In addition, the purulent-inflammatory process can spread to the joint, tendons and bone structures of the finger. With a total lesion, pandactylitis develops. Each case is characterized by its own symptoms, however, it is possible to reliably determine the extent of the lesion only after examining a specialist and conducting the necessary studies.

Diagnosis

The diagnosis is established on the basis of the patient’s complaints and clinical manifestations of the disease. To obtain basic information about the state of health, a general blood test is prescribed. To determine the type of pathogen and determine its sensitivity to antibacterial drugs, purulent discharge is sown on nutrient media.

If a patient is suspected of having a bone or articular panaritium, an x-ray is taken. It should be borne in mind that signs of joint damage may not be clearly visible in the image, therefore, for the purpose of control, an image of a healthy arm is also taken.

Treatment

In most cases panaritium needs an autopsy, which is carried out in order to create a path for the outflow of pus from the lesion. The surgery is performed under local anesthesia. The opening of deep felons is supplemented by the installation of drainage.

Drug treatment of felons includes the appointment of antibacterial agents in the form of tablets or injections. At the stage of recovery after surgical treatment, the wound surface is treated with antiseptics.

Surgeons of our clinic treat panaritiums of any form. Surgical interventions are performed in a small operating room. We perform opening the focus, washing the wound with an antiseptic solution and, if necessary, draining. After surgical treatment, the surgeon will prescribe antibiotics and give detailed recommendations.

Diagnostics and treatment in the clinic “Medicine and Beauty”

All doctors of our clinic are proficient in modern methods of early diagnosis and treatment of a wide range of diseases in the areas of gynecology, urology, surgery, proctology, dermatovenereology, gastroenterology, etc. They are proficient in functional and ultrasound diagnostics, endoscopic research methods.

The clinic is equipped with expert-class medical and diagnostic equipment from leading European, Japanese, Korean and Russian manufacturers registered with Roszdravnadzor: PENTAX, MEDISON, ARAMO, SAMSUNG, UNIKOS, MATRIX, etc. We cooperate with leading laboratories and offer a full range of laboratory tests . We work without days off and holidays, daily from 8.00 to 21.00.

This gives our patients the following benefits:

1. Efficacy and safety.