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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 (PubMed)

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

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2018 Case reports in medicine

3. Periungual Abscess Caused by Citrobacter braakii in a Patient with Chronic Paronychia (PubMed)

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

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2016 Annals of dermatology

4. Chronic paronychia treatment: Square flap technique. (PubMed)

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

5. 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

6. 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

7. Recurrent Paronychia as a Presenting Manifestation of Pemphigus Vulgaris: A Case Report (PubMed)

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.

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2017 Skin appendage disorders

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

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

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. 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

11. 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

12. 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

13. Hand, Paronychia Drainage

: 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

14. 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

15. 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

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 Emergency Medicine

17. 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 Emergency Medicine

18. Paronychia (Follow-up)

: 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

19. Paronychia - acute

or trauma to the skin 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 (...) 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

2011 NICE Clinical Knowledge Summaries

20. Editorial: chronic paronychia. (PubMed)

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

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1975 British medical journal

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