MPR 5 References pain, swelling, drainage (acute) SIMILAR ARTICLES Dermatology Consultant Paronychia: A paronychia is an infection of the finger that involves the tissue at the edges of the fingernail. This infection is usually superficial and localized to the soft tissue and skin around the fingernail. This is the most common bacterial infection seen in the hand. GEORGE LARIOS, MD, MS, is a resident in dermatology and venereology at Andreas Sygros Hospital. He received his medical degree from the University of Athens Medical School and completed a master of science degree in health informatics with a specialization in teledermatology from the University of Athens Faculty of Nursing. Article By Heather Brannon, MD Paronychia caused by bacteria can get worse quickly. Fungus-caused paronychia typically gets worse much more gradually. Gram stain/culture to identify pathogen Next post → Eczema & Dermatitis Quiz: Fun Facts About Your Hands chronic paronychia chemotherapeutic agents Read Article >> Medical Treatment Depression in Children and Teens Disclaimer The Author Contact Us If you suspect any kind of injury to your nail or to the skin around the nail, you should seek immediate treatment. Specialty Dermatology, emergency medicine The optimal treatment is different for acute verus chronic paronychia. For acute paronychia, optimal treatment is systemic/topical treatment or surgery. For chronic paronychia, optimal treatment is prevention and treatment of the chronic inflammation. Keep reading: How to treat an ingrown fingernail » Avoid nail trauma, biting, picking, and manipulation, and finger sucking You must be a registered member of Dermatology Advisor to post a comment. Caveats and Caution paronychia, hangnail, onychia lateralis, onychia periungualis, felon, whitlow, herpetic whitlow, cellulitis, infectious flexor tenosynovitis, pyogenic flexor tenosynovitis, flexor tendosynovitis, tendosynovitis, deep space infections, collar button abscess, finger injury, finger infection, onychomycosis Mallet finger (jammed finger, painful tendon injury, common sports injury) Risk factors for paronychia include: St.Emlyn’s at #EuSEM18 – Day 2 St.Emlyn’s at #EuSEM18 – Day 4 St Mary’s Hospital 4 Treatment Be sure to contact your doctor if: Note: All information on TeensHealth® is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor. If you’re interested in etytmology, Wikipedia seems to think the term whitlow derives from the Scandinavian whickflaw, combining a variant of quick (a sensitive spot) and flaw – perhaps one of our ScanFOAM colleagues can let us know what they think? The presence or absence of Candida seems to be unrelated to the effectiveness of treatment. Given their lower risks and costs compared with systemic antifungals, topical steroids should be the first-line treatment for patients with chronic paronychia.21 Alternatively, topical treatment with a combination of steroid and antifungal agents may also be used in patients with simple chronic paronychia, although data showing the superiority of this treatment to steroid use alone are lacking.19 Intralesional corticosteroid administration (triamcinolone [Amcort]) may be used in refractory cases.8,19 Systemic corticosteroids may be used for treatment of inflammation and pain for a limited period in patients with severe paronychia involving several fingernails. Phone: +44 (0) 207 111 1105 Appointments & AccessPay Your BillFinancial AssistanceAccepted InsuranceMake a DonationRefer a PatientPhone DirectoryEvents Calendar Random article Thanks so much for following. Viva la #FOAMed References Diagnosis Access the latest issue of American Family Physician Translate »  Page contributions Signs and symptoms[edit] Imaging How to Recognize and Treat an Infected Hangnail Visit our interactive symptom checker Staying Healthy Caveats and cautions EM Zen. Thinking about Thinking. The mess in Virchester #SMACC2013 The confirmation of the diagnosis is based on the clinical appearance and the clinical history of the paronychia. Tags ADD/ADHD Multimedia nail plate irregularities (chronic) PROGNOSIS Warm soaks, oral antibiotics (clindamycin [Cleocin] or amoxicillin–clavulanate potassium [Augmentin]); spontaneous drainage, if possible; surgical incision and drainage News & Our expert physicians and surgeons provide a full range of dermatologic, reconstructive and aesthetic treatments options at Cleveland Clinic. Head injury Felon: Often, incision and drainage is required because the infection develops within the multiple compartments of the fingertip pad. Usually an incision will be made on one or both sides of the fingertip. The doctor will then insert an instrument into the wound and break up the compartments to aid in the drainage. Sometimes, a piece of rubber tubing or gauze will be placed into the wound to aid the initial drainage. The wound may also be flushed out with a sterile solution to remove as much debris as possible. These infections will require antibiotics. The wound will then require specific home care as prescribed by your doctor. Read Article >> Nail dystrophy Nail Abnormalities Arthropod bite or sting Health Tools Paronychia can be either acute or chronic depending on the speed of onset, the duration, and the infecting agents. Recipes & Cooking Imaging Quit Smoking Disclaimer Text is available under the Creative Commons Attribution-ShareAlike License; additional terms may apply. By using this site, you agree to the Terms of Use and Privacy Policy. Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization. Deep space infections: The deep space infection that arises in the web space of the fingers is also called a collar button abscess. The space between the fingers will be painful and swollen. The area may also be red and warm to the touch. As the abscess becomes larger, the fingers will be slightly spread apart by the increasing pressure. The central area may have a soft spot that represents a collection of pus under the skin. The specialized anatomy of the hand, particularly the tendon sheaths and deep fascial spaces, create distinct pathways for infection to spread. In addition, even fully cleared infections of the hand can result in significant morbidity, including stiffness and weakness. For these reasons, early and aggressive treatment of hand infections is imperative. Birth Control Vaccines  ·  Powered by Atlassian Confluence , the Enterprise Wiki x-ray SMACCGold Workshop. I’ve got papers….what next? Diagnosis By Heather Brannon, MD Your doctor may prescribe an antibiotic if the infection is more severe or if it isn’t responding to home treatments. 875 mg/125 mg orally twice daily for seven days Exam material tinea versicolor | toenail abscess tinea versicolor | infected hangnail on finger tinea versicolor | how do you treat an infected finger
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