What are the main causes of paronychia. How is paronychia diagnosed and treated. What are the symptoms of acute vs chronic paronychia. How can paronychia be prevented. When should you seek medical attention for a nail infection.

Understanding Paronychia: A Common Nail Infection

Paronychia is a prevalent infection that affects the soft tissue surrounding the nail, typically caused by bacteria or fungi. This condition can occur on both fingernails and toenails, leading to discomfort and potential complications if left untreated. To fully grasp the nature of paronychia, it’s crucial 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

Common Causes and Risk Factors for Paronychia

Paronychia can be triggered by various factors, ranging from minor injuries to underlying health conditions. Understanding these causes can help in prevention and early intervention.

Primary Causes of Paronychia

• Trauma to the nail or surrounding skin
• Excessive moisture exposure
• Frequent hand washing or exposure to chemicals
• Manicure or pedicure-related injuries
• Ingrown nails
• Nail-biting or cuticle picking

Are certain individuals more susceptible to developing paronychia? Yes, some people have a higher risk of developing this condition. Risk factors include:

• Diabetes
• Immunocompromised conditions
• Occupations involving frequent hand-washing or exposure to chemicals
• Poor nail hygiene

Recognizing Symptoms of Paronychia

Identifying the symptoms of paronychia early can lead to prompt treatment and prevent complications. The signs and symptoms may vary depending on whether the condition is acute or chronic.

Acute Paronychia Symptoms

• Sudden onset of redness and swelling around the nail
• Tenderness and pain in the affected area
• Warmth around the nail
• Pus-filled blister formation
• Difficulty performing tasks with the affected digit

Chronic Paronychia Symptoms

• Gradual swelling and redness around the nail
• Tenderness and mild pain
• Cuticle separation from the nail
• Changes in nail shape or texture
• Discoloration of the affected nail

Can paronychia spread to other nails or parts of the body? While paronychia typically affects one nail at a time, it can spread to other nails if proper hygiene is not maintained or if the underlying cause is not addressed.

Diagnosis and Medical Assessment of Paronychia

Accurate diagnosis of paronychia is essential for effective treatment. Healthcare professionals employ various methods to confirm the condition and determine its severity.

Diagnostic Procedures

• Physical examination of the affected area
• Medical history review
• Culture tests to identify the specific pathogen
• Imaging studies in severe cases

How do doctors differentiate between bacterial and fungal paronychia? Doctors consider factors such as onset speed, appearance, and patient history. In some cases, laboratory tests may be necessary to confirm the specific pathogen causing the infection.

Treatment Options for Paronychia

The treatment approach for paronychia varies based on the type (acute or chronic) and severity of the infection. A combination of home remedies and medical interventions may be recommended.

Home Remedies and Self-Care

• Warm water soaks to promote drainage and relieve pain
• Over-the-counter pain relievers
• Keeping the affected area dry and clean
• Avoiding further trauma to the nail

Medical Treatments

• Topical or oral antibiotics for bacterial infections
• Antifungal medications for fungal paronychia
• Corticosteroids to reduce inflammation
• Surgical drainage in severe cases

Is it necessary to remove the nail in severe cases of paronychia? In some instances, partial or complete nail removal may be required if the infection is severe or recurrent. This procedure allows for better treatment of the underlying tissue and promotes healthy nail regrowth.

Preventing Paronychia: Tips for Nail Health

Prevention is key when it comes to paronychia. By adopting good nail care habits and avoiding potential triggers, you can significantly reduce your risk of developing this infection.

Nail Care Best Practices

• Keep nails clean and dry
• Avoid biting nails or picking at cuticles
• Use clean, sterile tools for manicures and pedicures
• Wear protective gloves when working with water or chemicals
• Trim nails straight across to prevent ingrown nails
• Moisturize hands and feet regularly

How often should you trim your nails to prevent paronychia? It’s recommended to trim your nails every 1-2 weeks, depending on your nail growth rate. Regular trimming helps prevent nail overgrowth and reduces the risk of injury to the surrounding skin.

Complications and Long-Term Effects of Untreated Paronychia

While paronychia is generally treatable, neglecting the condition can lead to various complications and long-term effects on nail health and overall well-being.

Potential Complications

• Spread of infection to deeper tissues
• Permanent nail deformity
• Recurrent infections
• Abscess formation
• Sepsis in severe cases

Can chronic paronychia lead to permanent nail damage? Yes, if left untreated, chronic paronychia can cause lasting changes to the nail structure, including thickening, discoloration, and separation from the nail bed. Early intervention is crucial to prevent these long-term effects.

When to Seek Medical Attention for Paronychia

While mild cases of paronychia may resolve with home care, certain situations require prompt medical attention to prevent complications and ensure proper treatment.

Signs Indicating Need for Medical Care

• Severe pain or swelling
• Spreading redness or warmth
• Pus drainage or abscess formation
• Fever or chills
• No improvement after several days of home treatment
• Recurrent infections

Should you attempt to drain a paronychia at home? It’s not recommended to attempt draining a paronychia at home, as this can lead to further infection or complications. If you suspect an abscess has formed, consult a healthcare professional for proper drainage and treatment.

Paronychia in Special Populations: Children and Immunocompromised Individuals

Certain groups may be more susceptible to paronychia or experience more severe symptoms. Understanding how the condition affects these populations is crucial for appropriate management and care.

Paronychia in Children

Children may be more prone to paronychia due to habits like thumb-sucking or nail-biting. Additionally, their immune systems may not be as developed, potentially leading to more severe infections.

• Encourage good hand hygiene
• Address nail-biting habits
• Seek prompt medical attention for suspected infections

Paronychia in Immunocompromised Individuals

People with weakened immune systems, such as those with HIV/AIDS or undergoing chemotherapy, may experience more severe or persistent paronychia.

• Implement rigorous nail care routines
• Monitor for early signs of infection
• Work closely with healthcare providers for prevention and treatment

How does diabetes affect the risk and severity of paronychia? Diabetes can increase the risk of developing paronychia due to compromised blood circulation and immune function. Diabetic individuals may also experience slower healing and a higher risk of complications, making early detection and treatment crucial.

Natural Remedies and Alternative Treatments for Paronychia

While medical treatments are often necessary for paronychia, some natural remedies and alternative treatments may provide relief or support the healing process. It’s important to note that these should not replace professional medical advice but can be used as complementary approaches.

Natural Remedies

• Tea tree oil: Known for its antimicrobial properties
• Apple cider vinegar soaks: May help balance pH and fight infection
• Garlic: Contains natural antibacterial compounds
• Turmeric paste: Has anti-inflammatory properties
• Aloe vera: Soothes inflammation and promotes healing

Alternative Treatments

• Acupuncture: May help boost immune function and reduce inflammation
• Herbal supplements: Some herbs may support immune health
• Essential oil blends: Certain combinations may have antimicrobial effects

Are natural remedies as effective as medical treatments for paronychia? While some natural remedies may provide relief or support healing, they are generally not as fast-acting or potent as medical treatments. For moderate to severe cases of paronychia, it’s essential to seek professional medical care to prevent complications and ensure proper treatment.

The Role of Nutrition in Preventing and Managing Paronychia

A balanced diet plays a crucial role in maintaining overall health, including nail health and immune function. Proper nutrition can help prevent paronychia and support the body’s natural healing processes when infections occur.

Key Nutrients for Nail Health

• Biotin: Supports nail strength and growth
• Zinc: Essential for nail formation and repair
• Vitamin C: Boosts collagen production and immune function
• Omega-3 fatty acids: Reduce inflammation and support overall health
• Protein: Provides building blocks for nail tissue

Dietary Recommendations

• Incorporate a variety of fruits and vegetables
• Choose lean proteins and healthy fats
• Stay hydrated to support overall health
• Consider probiotic-rich foods to boost immune function

Can dietary changes alone prevent or cure paronychia? While a nutritious diet supports overall nail health and immune function, it’s not a standalone prevention or treatment method for paronychia. A balanced diet should be part of a comprehensive approach that includes proper nail care, hygiene practices, and medical treatment when necessary.

Occupational Risks and Prevention of Paronychia

Certain occupations carry a higher risk of developing paronychia due to frequent exposure to moisture, chemicals, or physical trauma to the nails. Understanding these risks and implementing preventive measures is crucial for maintaining nail health in the workplace.

High-Risk Occupations

• Healthcare workers
• Dishwashers and food service workers
• Janitors and cleaning staff
• Nail technicians and beauticians
• Mechanics and industrial workers

Occupational Prevention Strategies

• Wear appropriate protective gloves
• Use barrier creams to protect skin and nails
• Practice proper hand hygiene and drying techniques
• Take regular breaks to allow hands to dry completely
• Maintain tools and equipment to minimize injury risk

How can employers support paronychia prevention in the workplace? Employers can play a crucial role in preventing occupational paronychia by providing proper protective equipment, implementing safety protocols, offering education on nail health, and ensuring adequate facilities for hand hygiene and care.

The Psychological Impact of Chronic Paronychia

While paronychia is primarily a physical condition, chronic cases can have significant psychological effects on individuals. Understanding and addressing these impacts is essential for comprehensive care and overall well-being.

Potential Psychological Effects

• Anxiety about appearance and social interactions
• Frustration with recurring symptoms
• Depression related to chronic pain or limitations
• Reduced self-esteem and body image issues
• Stress from ongoing treatment and lifestyle adjustments

Coping Strategies

• Seek support from friends, family, or support groups
• Practice stress-reduction techniques like meditation or yoga
• Engage in hobbies and activities that boost mood
• Consider counseling or therapy if psychological impact is significant
• Focus on overall health and well-being, not just nail appearance

How can healthcare providers address the psychological aspects of chronic paronychia? Healthcare providers should take a holistic approach to paronychia treatment, acknowledging both physical and psychological impacts. This may include discussing mental health concerns, offering resources for psychological support, and providing education on coping strategies alongside medical treatment.

Emerging Research and Future Treatments for Paronychia

As medical science advances, new research and treatment options for paronychia continue to emerge. Staying informed about these developments can provide hope for improved management and potential breakthroughs in treating this common nail condition.

Current Research Areas

• Novel antimicrobial agents targeting resistant pathogens
• Advanced wound healing technologies
• Immunomodulatory therapies for chronic cases
• Nanotechnology-based drug delivery systems
• Bioengineered nail tissue for severe cases

Potential Future Treatments

• Personalized treatment based on genetic profiling
• Stem cell therapies for nail regeneration
• Probiotic-based treatments to balance nail microbiome
• Advanced imaging techniques for early detection
• Targeted immunotherapies for chronic paronychia

Will future treatments make paronychia a thing of the past? While complete eradication of paronychia is unlikely, future advancements may significantly improve treatment efficacy, reduce recovery times, and minimize the risk of chronic cases. As research progresses, we can expect more targeted and personalized approaches to managing this common nail condition.

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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 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

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Paronychie in der rechten Hand

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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.

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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

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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. …

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Nahaufnahme einer Paronychie

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Krankenschwester kümmert sich um Patienten nach Nagel Betrieb

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

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Die häufigsten Nagelerkrankungen und Krankheiten. Großes Set….

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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

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Keine Krankheit Pilz Nagel

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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

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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

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Krankenschwester kümmert sich um Patienten nach Nagel Betrieb

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

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

mann wird geprüft – paronychia stock-fotos und bilder

Mann wird geprüft

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…

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

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 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

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

Paronychia rugelii — Sandquadrate, Rugels Nagelkraut niedrig. ..

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

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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.