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Chronic Paronychia

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1. Paronychia

Paronychia Paronychia - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Paronychia Last reviewed: February 2019 Last updated: March 2018 Summary Acute paronychia is an acute infection of the nail folds and periungual tissues, usually caused by Staphylococcus aureus . Treatment of acute paronychia includes incision and drainage of any purulent fluid, soaks, and topical and/or oral antibacterials. Chronic paronychia (...) is a chronic irritant dermatitis of the periungual tissues resulting from barrier damage to the protective nail tissues, including the cuticle and the proximal and lateral nail folds. Water and irritant avoidance is the hallmark of treatment of chronic paronychia. Definition Paronychia means inflammation of the nail apparatus. Acute paronychias are infections of the periungual tissues, usually presenting with an acutely painful, purulent infection. [Figure caption and citation for the preceding image

2018 BMJ Best Practice

2. Chronic Paronychia and Onychomadesis in Pemphigus Vegetans: An Unusual Presentation in a Rare Autoimmune Disease Full Text available with Trip Pro

Chronic Paronychia and Onychomadesis in Pemphigus Vegetans: An Unusual Presentation in a Rare Autoimmune Disease Pemphigus vegetans is a rare variant of deep acantholytic pemphigus which usually presents with vesiculobullous rash and vegetative plaques on the folds. We report a case of pemphigus vegetans patient who presented with rashes on tips of fingers and toes resembling paronychia and onychomadesis that misled the diagnosis for months. The final diagnosis of Hallopeau-type pemphigus

2018 Case reports in medicine

3. Chronic Paronychia

Chronic Paronychia Chronic Paronychia Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Chronic Paronychia Chronic Paronychia Aka (...) : Chronic Paronychia From Related Chapters II. Definition More than 6 weeks of nail fold inflammation III. Pathophysiology Cuticle separates from nail plate resulting in a space between nail fold and nail plate Resulting pocket accumulates irritants, as well as fungi and IV. Mechanisms Exposures Exposure to water with irritants or Repeated exposure to moist environment Occupation Baker Bartender Dishwasher Housekeeper Homemaker Swimmer Comorbid condition ( ) Immunocompromised condition Medications

2018 FP Notebook

4. Paronychia - acute

surrounding the nail plate, which allows the entry of infecting organisms. Local risk factors include aggressive manicuring, artificial nail placement, frequent hand immersion in water, finger sucking and nail biting, hang nail, ingrown nail, trauma and pemphigus vulgaris. Most cases of acute paronychia resolve in 2–4 days with treatment. Untreated infection may lead to chronic paronychia or complications, such as damage to tendons and nail loss. Acute paronychia usually affects one finger. Typical (...) or clarithromycin are the first-line antibiotic options. Have I got the right topic? Have I got the right topic? From age 1 month onwards. This CKS topic covers the management of acute paronychia. This CKS topic does not cover the management of chronic paronychia. There are separate CKS topics on and . The target audience for this CKS topic is healthcare professionals working within the NHS in the UK, and providing first contact or primary healthcare. CKS gratefully acknowledges the contribution of the British

2017 NICE Clinical Knowledge Summaries

5. Recurrent Paronychia as a Presenting Manifestation of Pemphigus Vulgaris: A Case Report Full Text available with Trip Pro

Recurrent Paronychia as a Presenting Manifestation of Pemphigus Vulgaris: A Case Report Nail involvement in pemphigus vulgaris (PV) is an unusual clinical finding. The most common clinical manifestations include chronic paronychia and onychomadesis. We report an adult female patient with PV who initially presented with chronic paronychia of multiple fingernails and toenails before the onset of vesiculobullous eruptions. Later on, after complete resolution, there was recurrence of pemphigus (...) presenting as hemorrhagic paronychia of the left index finger. Systemic treatment with corticosteroids and azathioprine led to complete resolution of mucocutaneous lesions as well as nail manifestations. Thus, chronic treatment-resistant paronychia may be an early and important sign of generalized pemphigus in certain patients.

2017 Skin appendage disorders

6. Chronic paronychia treatment: Square flap technique. (Abstract)

Chronic paronychia treatment: Square flap technique. Chronic paronychia is an inflammatory process of the periungual folds that lasts longer than 6 weeks. It manifests as hypertrophy of the proximal and lateral nailfolds, absence of cuticle, progressive retraction of the proximal nailfold, and onychodystrophy. Surgical treatment is recommended if there has been insufficient response to 6 months of appropriate medical therapies.We describe a new surgical technique that removes the fibrotic (...) are limitations of this study.This surgical technique can provide an alternative treatment for chronic paronychia, with good prognosis during follow up-period and optimal cosmetic results.Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

2016 Journal of American Academy of Dermatology

7. Periungual Abscess Caused by Citrobacter braakii in a Patient with Chronic Paronychia Full Text available with Trip Pro

Periungual Abscess Caused by Citrobacter braakii in a Patient with Chronic Paronychia 27489449 2016 08 04 2018 11 13 1013-9087 28 4 2016 Aug Annals of dermatology Ann Dermatol Periungual Abscess Caused by Citrobacter braakii in a Patient with Chronic Paronychia. 528-9 10.5021/ad.2016.28.4.528 Bae Soo Hyeon SH Department of Dermatology, Chonnam National University Medical School, Gwangju, Korea. Kim Seong-Jin SJ Department of Dermatology, Chonnam National University Medical School, Gwangju

2016 Annals of dermatology

8. Acute Paronychia

reaction involving the folds of the skin surrounding the fingernail. It is characterized by acute or chronic purulent, tender, and painful swellings of the tissues around the nail, caused by an abscess of the nail fold. The pathogenic yeast causing paronychia is most frequently Candida albicans. Saprophytic fungi may also be involved. The causative bacteria are usually Staphylococcus, Pseudomonas aeruginosa, or Streptococcus. (Andrews' Diseases of the Skin, 8th ed, p271) Concepts Disease or Syndrome (...) Acute Paronychia Acute Paronychia Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Acute Paronychia Acute Paronychia Aka: Acute

2018 FP Notebook

9. Chronic Paronychia

Chronic Paronychia Chronic Paronychia Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Chronic Paronychia Chronic Paronychia Aka (...) : Chronic Paronychia From Related Chapters II. Definition More than 6 weeks of nail fold inflammation III. Pathophysiology Cuticle separates from nail plate resulting in a space between nail fold and nail plate Resulting pocket accumulates irritants, as well as fungi and IV. Mechanisms Exposures Exposure to water with irritants or Repeated exposure to moist environment Occupation Baker Bartender Dishwasher Housekeeper Homemaker Swimmer Comorbid condition ( ) Immunocompromised condition Medications

2015 FP Notebook

10. Atypical chronic sterile paronychia leading to tissue and joint space destruction in a patient with thromboangiitis obliterans. (Abstract)

Atypical chronic sterile paronychia leading to tissue and joint space destruction in a patient with thromboangiitis obliterans. We report the case of a patient with severe thromboangiitis obliterans (Buerger's disease) and untreated paronychia which eroded into the digital joint space causing acrolysis of digits and significant soft tissue and joint destruction. © 2012 The Authors Australasian Journal of Dermatology © 2012 The Australasian College of Dermatologists.

2012 Australasian Journal of Dermatology

11. Problems of chronic paronychia. Full Text available with Trip Pro

Problems of chronic paronychia. 5475843 1970 12 21 2018 11 13 0007-1447 4 5730 1970 Oct 31 British medical journal Br Med J Problems of chronic paronychia. 257-8 eng Journal Article England Br Med J 0372673 0007-1447 AIM IM Chronic Disease Female Humans Paronychia etiology microbiology therapy 1970 10 31 1970 10 31 0 1 1970 10 31 0 0 ppublish 5475843 PMC1819820 Br J Dermatol. 1970 May;82(5):448-53 4988198 Arch Dermatol. 1962 Sep;86:324-7 13917473 Arch Dermatol. 1962 Feb;85:233-57 14468485 J

1970 British medical journal

12. Editorial: chronic paronychia. Full Text available with Trip Pro

Editorial: chronic paronychia. 807287 1975 11 08 2018 11 13 0007-1447 2 5969 1975 May 31 British medical journal Br Med J Editorial: chronic paronychia. 460 eng Journal Article England Br Med J 0372673 0007-1447 0 Anti-Bacterial Agents AIM IM Anti-Bacterial Agents therapeutic use Candida isolation & purification Chronic Disease Humans Paronychia drug therapy microbiology prevention & control Pseudomonas aeruginosa isolation & purification Staphylococcus isolation & purification 1975 5 31 1975 5

1975 British medical journal

13. Chronic Paronychia: Review of Seventy Cases Full Text available with Trip Pro

Chronic Paronychia: Review of Seventy Cases 13882744 1998 11 01 2018 12 01 0008-4409 85 1961 Dec 09 Canadian Medical Association journal Can Med Assoc J Chronic paronychia: review of seventy cases. 1291-5 CURRY R H RH MITCHELL J C JC eng Journal Article Canada Can Med Assoc J 0414110 0008-4409 OM Caryophyllaceae Chronic Disease Humans Paronychia PARONYCHIA 1961 12 9 1961 12 9 0 1 1961 12 9 0 0 ppublish 13882744 PMC1848620 Br J Dermatol. 1959 Jan;71(1):1-11 13618494

1961 Canadian Medical Association Journal

14. Chronic Paronychia Full Text available with Trip Pro

Chronic Paronychia 20327031 2010 06 24 2018 11 13 0008-4409 86 6 1962 Feb 10 Canadian Medical Association journal Can Med Assoc J Chronic Paronychia. 292 Hayward R R eng Journal Article Canada Can Med Assoc J 0414110 0008-4409 2010 3 24 6 0 1962 2 10 0 0 1962 2 10 0 1 ppublish 20327031 PMC1848841 Can Med Assoc J. 1961 Dec 9;85:1291-5 13882744 Can Med Assoc J. 1936 Aug;35(2):168-72 20320341

1962 Canadian Medical Association Journal

15. Treatment of chronic paronychia. Full Text available with Trip Pro

Treatment of chronic paronychia. 534894 1980 05 30 2008 11 20 0007-1447 2 6204 1979 Dec 15 British medical journal Br Med J Treatment of chronic paronychia. 1588 Vickers H R HR eng Letter England Br Med J 0372673 0007-1447 0 Ointments 1400-61-9 Nystatin AIM IM Chronic Disease Female Humans Nystatin therapeutic use Ointments Paronychia drug therapy 1979 12 15 1979 12 15 0 1 1979 12 15 0 0 ppublish 534894 PMC1597470

1979 British medical journal

16. Paronychia (Diagnosis)

: Elizabeth M Billingsley, MD; Chief Editor: William D James, MD Share Email Print Feedback Close Sections Sections Paronychia Overview Practice Essentials Paronychia is a soft tissue infection around a fingernail that begins as cellulitis but that may progress to a definite abscess. [ ] The 2 types of paronychia are as follows [ ] : Acute paronychia - Painful and purulent condition; most frequently caused by staphylococci Chronic paronychia - Usually caused by a fungal infection The image below depicts (...) of the infection can lead to the involvement of both lateral folds as it tracks under the nail sulcus; this progression is called a runaround infection Physical findings in chronic paronychia include the following: Swollen, erythematous, and tender nail folds without fluctuance are characteristic of chronic paronychia Eventually, the nail plates become thickened and discolored, with pronounced transverse ridges The cuticles and nail folds may separate from the nail plate, forming a space for the invasion

2014 eMedicine.com

17. Paronychia (Treatment)

. [ , ] Herpetic whitlow and paronychia must be distinguished because the treatments are drastically different. Misdiagnosis and mistreatment may do more harm than good. Once herpetic whitlow is ruled out, one must determine whether the paronychia is acute or chronic and then treat it accordingly. [ ] Inpatient care Admission for paronychia is rarely required unless associated with a significant cellulitis, tendonitis, or deep space infection of the hand requiring intravenous antibiotics. Consultations (...) It is necessary to consult a hand surgeon if cellulitis, deep space infection, glomus tumor, mucous cyst, or osteomyelitis is suspected. Long-term monitoring Patients with recurring or chronic paronychia require frequent follow-up monitoring to prevent possible superinfections or deep-seated infections. Next: Pharmacologic and Other Noninvasive Treatment Acute paronychia Warm water soaks of the affected finger 3-4 times per day until symptoms resolve are helpful. Oral antibiotics with gram-positive coverage

2014 eMedicine.com

18. Paronychia (Overview)

: Elizabeth M Billingsley, MD; Chief Editor: William D James, MD Share Email Print Feedback Close Sections Sections Paronychia Overview Practice Essentials Paronychia is a soft tissue infection around a fingernail that begins as cellulitis but that may progress to a definite abscess. [ ] The 2 types of paronychia are as follows [ ] : Acute paronychia - Painful and purulent condition; most frequently caused by staphylococci Chronic paronychia - Usually caused by a fungal infection The image below depicts (...) of the infection can lead to the involvement of both lateral folds as it tracks under the nail sulcus; this progression is called a runaround infection Physical findings in chronic paronychia include the following: Swollen, erythematous, and tender nail folds without fluctuance are characteristic of chronic paronychia Eventually, the nail plates become thickened and discolored, with pronounced transverse ridges The cuticles and nail folds may separate from the nail plate, forming a space for the invasion

2014 eMedicine.com

19. Paronychia (Follow-up)

. [ , ] Herpetic whitlow and paronychia must be distinguished because the treatments are drastically different. Misdiagnosis and mistreatment may do more harm than good. Once herpetic whitlow is ruled out, one must determine whether the paronychia is acute or chronic and then treat it accordingly. [ ] Inpatient care Admission for paronychia is rarely required unless associated with a significant cellulitis, tendonitis, or deep space infection of the hand requiring intravenous antibiotics. Consultations (...) It is necessary to consult a hand surgeon if cellulitis, deep space infection, glomus tumor, mucous cyst, or osteomyelitis is suspected. Long-term monitoring Patients with recurring or chronic paronychia require frequent follow-up monitoring to prevent possible superinfections or deep-seated infections. Next: Pharmacologic and Other Noninvasive Treatment Acute paronychia Warm water soaks of the affected finger 3-4 times per day until symptoms resolve are helpful. Oral antibiotics with gram-positive coverage

2014 eMedicine.com

20. Paronychia (Treatment)

: Elizabeth M Billingsley, MD; Chief Editor: William D James, MD Share Email Print Feedback Close Sections Sections Paronychia Overview Practice Essentials Paronychia is a soft tissue infection around a fingernail that begins as cellulitis but that may progress to a definite abscess. [ ] The 2 types of paronychia are as follows [ ] : Acute paronychia - Painful and purulent condition; most frequently caused by staphylococci Chronic paronychia - Usually caused by a fungal infection The image below depicts (...) of the infection can lead to the involvement of both lateral folds as it tracks under the nail sulcus; this progression is called a runaround infection Physical findings in chronic paronychia include the following: Swollen, erythematous, and tender nail folds without fluctuance are characteristic of chronic paronychia Eventually, the nail plates become thickened and discolored, with pronounced transverse ridges The cuticles and nail folds may separate from the nail plate, forming a space for the invasion

2014 eMedicine Emergency Medicine

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