What are the main causes of paronychia. How can you recognize the symptoms of paronychia. What are the most effective treatments for paronychia. How can you prevent paronychia from occurring. When should you seek medical attention for paronychia.

Understanding Paronychia: A Common Nail Infection

Paronychia is a prevalent infection that affects the soft tissue surrounding the nail, primarily the nail fold and the skin at the base of the nail. This condition can occur on both fingernails and toenails, causing discomfort and potential complications if left untreated. To fully comprehend this condition, it’s essential to explore its causes, symptoms, and available treatment options.

Types of Paronychia

There are two main types of paronychia:

• Acute paronychia: Develops rapidly, usually due to bacterial infection
• Chronic paronychia: Persists for more than six weeks, often caused by fungal infections or repeated irritation

Understanding the difference between these types is crucial for proper diagnosis and treatment.

Common Causes and Risk Factors of Paronychia

Paronychia can be triggered by various factors, ranging from minor injuries to underlying health conditions. Some of the most common causes include:

• Trauma to the nail or surrounding skin
• Excessive moisture exposure
• Frequent hand washing or prolonged water immersion
• Nail biting or picking at hangnails
• Manicures or pedicures with unsterile tools
• Ingrown nails
• Certain medications or medical conditions affecting the immune system

Individuals with diabetes, dermatitis, or those working in wet environments are at a higher risk of developing paronychia. Can certain occupations increase the risk of paronychia. Yes, professions that involve frequent hand washing or exposure to chemicals, such as healthcare workers, dishwashers, and cleaners, may have a higher likelihood of developing this condition.

Recognizing the Symptoms of Paronychia

Identifying paronychia early can lead to prompt treatment and faster recovery. The most common symptoms include:

• Redness and swelling around the nail
• Pain or tenderness when touching the affected area
• Warmth in the surrounding skin
• Pus-filled blisters or abscesses
• Changes in nail shape or color
• Difficulty moving the affected finger or toe

In chronic cases, symptoms may be milder but persist for extended periods. Is it possible for paronychia to spread to other nails. While paronychia typically affects one nail at a time, poor hygiene or underlying conditions can lead to multiple nail infections.

Diagnosing Paronychia: When to Seek Medical Attention

While mild cases of paronychia can often be treated at home, certain situations warrant medical attention. You should consult a healthcare professional if:

• Symptoms worsen or persist for more than a week
• You develop a fever or chills
• The infection appears to be spreading
• You have diabetes or a weakened immune system
• There’s significant pain or loss of nail function

A doctor can diagnose paronychia through a physical examination and may take a sample of any pus or fluid for laboratory analysis to identify the specific pathogen causing the infection.

Differential Diagnosis

It’s important to distinguish paronychia from other nail conditions, such as:

• Herpetic whitlow (viral infection)
• Felon (infection of the fingertip pad)
• Subungual hematoma (blood under the nail)
• Psoriasis affecting the nails

Accurate diagnosis ensures appropriate treatment and prevents potential complications.

Effective Treatment Options for Paronychia

The treatment for paronychia depends on its severity and whether it’s acute or chronic. Here are some common approaches:

Home Remedies

For mild cases, these home treatments may be effective:

• Warm water soaks (3-4 times daily for 15 minutes)
• Over-the-counter antibiotic ointments
• Keeping the affected area dry and clean
• Avoiding further trauma to the nail

Medical Treatments

If home remedies aren’t sufficient, a doctor may recommend:

• Oral antibiotics for bacterial infections
• Antifungal medications for fungal infections
• Corticosteroids to reduce inflammation
• Drainage of any abscesses
• In severe cases, partial or complete nail removal

How long does it typically take for paronychia to heal with proper treatment. With appropriate care, acute paronychia often improves within a few days to a week. Chronic cases may require several weeks or months of treatment for complete resolution.

Preventing Paronychia: Tips for Nail Health

Prevention is key when it comes to paronychia. Here are some strategies to reduce your risk:

• Avoid biting nails or picking at cuticles
• Keep nails clean and dry
• Use moisturizer to prevent skin cracks around nails
• Wear gloves when working with water or chemicals
• Use clean, sanitized tools for manicures and pedicures
• Trim nails straight across to prevent ingrown nails
• Manage underlying conditions like diabetes effectively

Can dietary changes help prevent paronychia. While there’s no direct link between diet and paronychia, maintaining a balanced diet rich in vitamins and minerals can support overall nail health and immune function, potentially reducing the risk of infections.

Complications and Long-Term Effects of Untreated Paronychia

If left untreated, paronychia can lead to several complications:

• Spread of infection to deeper tissues or bones (osteomyelitis)
• Permanent nail deformity or loss
• Chronic pain and discomfort
• Abscess formation requiring surgical intervention
• In rare cases, systemic infection (sepsis)

Does paronychia always result in permanent nail damage. While most cases of paronychia resolve without lasting effects, severe or chronic infections can lead to permanent changes in nail appearance or structure, emphasizing the importance of prompt treatment.

Paronychia in Special Populations: Children and Immunocompromised Individuals

Certain groups may be more susceptible to paronychia or experience more severe symptoms:

Paronychia in Children

Children, especially those who suck their thumbs or bite their nails, are prone to paronychia. Parents should:

• Encourage good hand hygiene
• Supervise nail trimming to prevent injuries
• Address thumb-sucking or nail-biting habits
• Seek medical attention promptly if symptoms appear

Paronychia in Immunocompromised Individuals

People with weakened immune systems, such as those with HIV/AIDS or undergoing chemotherapy, may experience more severe or recurrent paronychia. Special considerations include:

• More aggressive treatment approaches
• Closer monitoring for complications
• Prophylactic measures to prevent infections
• Regular check-ups with healthcare providers

How does the management of paronychia differ in these populations. Treatment for children and immunocompromised individuals often involves a more cautious approach, with a lower threshold for using systemic antibiotics and closer follow-up to ensure complete resolution of the infection.

Alternative and Complementary Therapies for Paronychia

While conventional medical treatments are the mainstay for paronychia, some people explore alternative or complementary therapies. These may include:

• Tea tree oil applications for its antimicrobial properties
• Vinegar soaks to alter the pH of the affected area
• Aloe vera gel for its soothing and anti-inflammatory effects
• Probiotics to boost overall immune function
• Nutritional supplements like zinc and vitamin C

It’s important to note that while these remedies may offer some benefits, they should not replace professional medical advice or treatment, especially for severe or persistent cases of paronychia.

Potential Risks of Alternative Therapies

Before trying any alternative treatments, consider:

• Possible allergic reactions to natural remedies
• Interactions with other medications
• Delay in seeking proper medical treatment
• Lack of scientific evidence for efficacy in treating paronychia

Can alternative therapies completely cure paronychia on their own. While some alternative treatments may provide symptomatic relief, they are generally not sufficient to cure moderate to severe cases of paronychia without conventional medical intervention.

The Role of Nail Care Professionals in Preventing and Managing Paronychia

Nail care professionals, such as manicurists and pedicurists, play a crucial role in both preventing and identifying early signs of paronychia. Their responsibilities include:

• Maintaining strict hygiene standards in their practice
• Using sterile tools and equipment
• Educating clients about proper nail care
• Recognizing and referring potential cases of paronychia to medical professionals
• Avoiding aggressive cuticle trimming or pushing

How can consumers ensure they’re visiting a reputable nail care professional. Look for licensed professionals who follow proper sanitation protocols, use disposable or thoroughly sterilized tools, and are willing to discuss their hygiene practices openly.

Best Practices for Professional Nail Care

When visiting a nail salon, consider the following tips to reduce your risk of paronychia:

• Bring your own sterilized tools if possible
• Avoid cutting cuticles; opt for gentle pushing instead
• Request that tools be sterilized in front of you
• Choose salons that use disposable liners for foot baths
• Skip treatments if you have any open wounds or existing nail infections

Paronychia in the Workplace: Occupational Considerations

Certain occupations carry a higher risk of developing paronychia due to frequent hand washing, exposure to irritants, or mechanical stress on the nails. High-risk professions include:

• Healthcare workers
• Food service employees
• Mechanics and technicians
• Custodial staff
• Hairdressers and beauticians

Employers and employees in these fields should be aware of the risks and take appropriate preventive measures.

Workplace Prevention Strategies

To reduce the incidence of paronychia in occupational settings:

• Provide proper protective equipment like gloves
• Offer education on hand hygiene and nail care
• Ensure access to gentle, non-irritating hand soaps and sanitizers
• Encourage regular breaks to allow hands to dry thoroughly
• Implement policies that allow for prompt treatment of minor injuries

How can employers balance hygiene requirements with paronychia prevention in healthcare settings. Implementing proper hand hygiene protocols while providing moisturizing lotions and educating staff about the importance of nail care can help strike this balance effectively.

The Future of Paronychia Treatment: Emerging Research and Technologies

As medical science advances, new approaches to treating and preventing paronychia are being explored. Some areas of ongoing research include:

• Development of novel antimicrobial agents
• Improved diagnostic techniques for faster pathogen identification
• Nanotechnology-based treatments for targeted drug delivery
• Gene therapy to enhance natural defense mechanisms against infections
• Probiotics and microbiome manipulation to prevent nail infections

While many of these technologies are still in early stages, they hold promise for more effective and personalized treatments in the future.

Potential Breakthroughs

Some exciting possibilities on the horizon include:

• Smart nail polish that changes color to indicate early signs of infection
• Wearable devices that monitor nail health and humidity levels
• Personalized treatment plans based on genetic predisposition to nail infections
• Advanced imaging techniques for non-invasive diagnosis of deep tissue involvement

How might these advancements change the landscape of paronychia treatment. Future technologies could lead to earlier detection, more precise treatments, and potentially even prevent paronychia before it develops, significantly reducing its impact on individuals and healthcare systems.

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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 jamesii, james’ whitlow-wort – paronychia stock-grafiken, -clipart, -cartoons und -symbole

Antike botanische Pflanzenillustration: Paronychia Jamesii, James’

Antike botanische Pflanzendarstellung: Paronychia jamesii, Jakobs-Pfinglingkraut

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.

mann wird geprüft – paronychia stock-fotos und bilder

Mann wird geprüft

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

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

Botanik Pflanzen Antik Gravur Abbildung: Paronychia Capitata

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

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

Krankenschwester kümmert sich um Patienten nach Nagel Betrieb

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

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

Paronychia rugelii — Sandquadrate, Rugels Nagelkraut niedrig…

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

Botanic FiA v05 Di02 Paronychia herniaria

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

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

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

Algerische Tee (Paronychia Argentea) Blume

Nahaufnahme der wunderschönen Algerischen Teeblume (Paronychia argentea).

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 – 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…

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

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 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

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

Akute Paronychie und Tourniquet am großen Zeh des südostasiatische

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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

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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

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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.