Research Email Address Sign Up Paronychia (acute and chronic Nail Disease, felon/whitlow) Nail Disease What treatment is best for me? Acute paronychia: The major causative organism is Staphylococcus aureus. Less common organisms are Streptococcus species, Pseudomonas or Proteus spp. Pointing the Finger – Paronychia in the Emergency Department Nail Structure and Function Who funds St.Emlyn’s? Pregnancy After 35 More in Skin Health and more Next article >> Etiology School & Jobs Kept Your Wisdom Teeth? ALEVIZOS ALEVIZOS, MD, is a family physician at the Health Center of Vyronas in Athens, Greece. He received his medical degree from the University of Athens Medical School and completed a family medicine residency at Tzaneion General Hospital in Piraeus, Greece. DERMATOLOGY ADVISOR FACEBOOK Heart Disease Patient Management How to Make a Vinegar Foot Soak Causes & Risk Factors Arthropod bite or sting Images and videos NEWS CASES CALCULATORS CHARTS CME DRUGS MEETINGS MULTIMEDIA RESOURCES Log in Thanks so much for following. Viva la #FOAMed Subungual hematoma (smashed fingernail, blood under the nail) Links Information from references 3, 10 through 13, and 17 through 22. Expert Blogs and Interviews Websites that will make you a better EM clinician Autoimmune disease, including psoriasis and lupus Virchester Journal Club 2013 Fit Kids Injury or infection to a finger or fingers is a common problem. Infection can range from mild to potentially serious. Often, these infections start out small and are relatively easy to treat. Failure to properly treat these infections can result in permanent disability or loss of the finger. Resources for the FCEM exam Pregnancy Family & Pregnancy Causes Living Better With Migraine Jump up ^ Rigopoulos D, Larios G, Gregoriou S, Alevizos A (February 2008). "Acute and chronic paronychia". Am Fam Physician. 77 (3): 339–46. PMID 18297959. 3 Diagnosis Sex and Birth Control The dagnosis is usually determined by the clinical appearance. The histological feature is not specific, showing an acute or chronic nonspecific inflammatory process. Sometimes there is an abscess formation around the nail folds. Ultrasound and culture from purulent material will help to decide if and what systemic antibiotic should be given. Bacitracin/neomycin/polymyxin B ointment (Neosporin) Skin Conditions Videos Sports Hand-Foot-and-Mouth Disease Long-term outlook Edit links Read Article >> The Best Way to Treat Paronychia Imaging Sign up / RCEM Curriculum Compassion Herpetic whitlow is discussed in herpes simplex virus infections. Labels Experiencing pain around your fingernails is usually a sign of irritation or infection. Swelling and redness around your fingernail may be caused by an infected hangnail. In this Article Neurology Advisor Authors Try not to suck fingers. Permanent link 4. Roberge RJ, Weinstein D, Thimons MM. Perionychial infections associated with sculptured nails. Am J Emerg Med. 1999;17:581–2. Living Healthy Chronic Paronychia female People with the following conditions tend to have more extensive paronychial infections and may need to be treated with a prolonged course of antibiotics: Wikipedia store WebMD Health Services How Does Chemo Work? the extensor tendon and joint capsule are fairly superficial and may be violated with seemingly shallow wounds 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. Patient discussions Tags Appointments & Locations Commonly involves the thumb and index finger Public Health First Aid Getting Pregnant Share Facebook Twitter Linkedin Email Print Terms and conditions ED Management The mainstay of treatment for finger infections is antibiotics and proper wound care. This can range from a simple incision and drainage of the wound to an extensive surgical exploration of the wound to remove as much infected material as possible. The decision as to when to use topical and/or systemic treatment is based on to the severity and the cause of the paronychia, whether acute or chronic. Basically, the first step of the treatment of acute paronychia is based on the presence or absence of pus (abscess formation) in the proximal and/or lateral nail folds, just beneath the skin. In such cases the pus should be drained by skin incision. In deeper cases surgery should be performed. If the pus is located beneath the nail plate, the nail plate may be removed). You'll need a subscription to access all of BMJ Best Practice Information from references 3, 10, 13,19, and 20. 27. Boucher KW, Davidson K, Mirakhur B, Goldberg J, Heymann WR. Paronychia induced by cetuximab, an anti-epidermal growth factor receptor antibody. J Am Acad Dermatol. 2002;47(4):632–633. DIFFERENTIAL DIAGNOSIS: JC: Is your name on the list? You're not likely to get paronychia in a toe (unless you have an ingrown toenail). But fingernail paronychia is one of the most common hand infections there is Exam material Mar 18, 2014 myCME One or two pastilles four times daily for seven to 14 days RCEM Curriculum Food and Nutrition Authors Simon Carley #SMACC2013 Educational Leadership and Subversion 2. Habif TP. Clinical dermatology: a color guide to diagnosis and therapy. 3d ed. St. Louis: Mosby, 1996. seborrheic dermatitis | psoriasis treatment seborrheic dermatitis | rosacea treatment seborrheic dermatitis | infected finger
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