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Paronychia - Paronychia symptom, treatment, causes


Paronychia is an acute or chronic infection of the skin fold at the side of a fingernail or toenail. This causes redness, swelling and pain. Acute paronychia is usually due to bacterial infection, often following injury. Fungal infection is the most common cause of chronic paronychia, which is most often seen in people whose hands are frequently damp or in water. Treatment is by antibiotic or antifungal creams and/or tablets. Pus that has accumulated under the skin fold may need to be drained. During treatment, and to prevent recurrence afterwards, people with paronychia should keep their fingers as dry as possible by wearing cotton-lined rubber gloves when their hands are in water.

Paronychia is a superficial infection of the skin around the nails, most commonly caused by staphylococcus bacteria or fungi. It may arise anywhere around the "U" shaped line where the fingernail doesn't seem to have a protruding edge where the edge of the nail is covered by skin. It may be a mild infection, but often is associated with a small abscess a collection of pus beneath the skin. It is the most common hand infection in the United States. Paronychia is seen frequently in children as a result of nail biting and finger-sucking. Paronychia is divided into acute paronychia and chronic paronychia depending on the amount of time the infection has been present. Paronychia is usually acute, but chronic cases occur. In acute paronychia, the causative organisms are usually Staphylococcus aureus or streptococci, less commonly Pseudomonas or Proteus spp. Organisms enter through a break in the epidermis resulting from a hangnail, trauma to a nail fold, loss of the cuticle, or chronic irritation (eg, from water and detergents). Paronychia is more common in people who bite or suck their fingers. In toes, infection often begins at an ingrown toenail (see Foot and Ankle Disorders Ingrown Toenail ). In diabetics and those with peripheral vascular disease, toe paronychia can threaten the limb.

Causes of Paronychia

The common Causes of Paronychia :

  • The usual cause is Staphylococcus or Streptococcus. Both are bacteria.
  • Occasionally, the cause is Candida (a fungus).
  • If recurrent or chronic, the infection has an increased likelihood of being mycotic.

Symptoms of Paronychia

Some common Symptoms of Paronychia :

  • Onset sudden (bacterial) or gradual (fungal, mixed infection)
  • May persist (fungal, mixed infection)
  • Localized redness
  • Swelling of the finger or the cuticle
  • Nail changes.
  • Distorted shape
  • Warmth,
  • Tenderness surrounding the fingernail

Treatment of Paronychia

  • Warm soaks and an antibiotic by mouth may cure the paronychia, but often a minor surgical procedure is required (incision and drainage, using sterile technique).
  • Topical antifungals.
  • Apply a emollient hand cream frequently - dimeticone barrier creams may help.
  • A course of an oral antifungal agent ( itraconazole or fluconazole ) may be recommended by a dermatologist.
  • Apply antiseptics or antifungal lotions regularly twice daily to the nail fold - suitable preparations include sulfacetamide, thymol, miconazole, ciclopirox.
  • Keep fingers dry.

 

 

 


Paronychia - Paronychia symptom, treatment, causes

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