Last Updated: April 1, 2014 The paronychium is a small band of epithelium that covers the medial and lateral borders of the nail. The eponychium is a small band of epithelium that covers the proximal aspect of the nail. Herpetic whitlow is discussed in herpes simplex virus infections. ^ Jump up to: a b c d Rockwell PG (March 2001). "Acute and chronic paronychia". Am Fam Physician. 63 (6): 1113–6. PMID 11277548. Hide comments Features A more recent article on paronychia is available. Onycholysis Causes and Treatments Subscriptions Prognosis View More My WebMD Pages Put your email in the box below and we will send you lots of #FOAMed goodness Acute Otitis Media Diagnosis and Management First Aid Paronychia (say: “pare-oh-nick-ee-uh”) is an infection in the skin around the fingernails or toenails. It usually affects the skin at the base (cuticle) or up the sides of the nail. There are two types of paronychia: acute paronychia and chronic paronychia. Acute paronychia often occurs in only one nail. Chronic paronychia may occur in one nail or several at once. Chronic paronychia either doesn’t get better or keeps coming back. The confirmation of the diagnosis is based on the clinical appearance and the clinical history of the paronychia. Epidemiology Do I have paronychia? Natalie May July 27, 2018 2 Comments Mobile Apps Search the site GO 10 Bacterial Skin Infections You Should Know About Patient leaflets You may need a prescription for an antibiotic in topical or oral form. If pus is present, your doctor may need to drain the infected area. This removes the bacteria and may help relieve pressure in the area. Renal & Urology News Depression in Children and Teens Early recognition and proper treatment of the following main finger infections will help prevent most of the serious outcomes. Candida albicans (95 percent), atypical mycobacteria, gram-negative rods Once or twice daily for one to two weeks Multiple Myeloma Author disclosure: Nothing to disclose. Causes of paronychia Medications like vitamin A derivative (isotretionin, etretinate, etc) myhealthfinder Join 34,971 other subscribers. More Skin Conditions Tonsillitis How to Spot and Treat Cellulitis Before It Becomes a Problem WebMD Network How paronychia is treated Favourites Treatment for early cases includes warm water soaks and antibiotics. However, once a purulent collection has formed, treatment requires opening the junction of the paronychial fold and the nail plate. This is normally done with the bevel of an 18 gauge needle. the affected area doesn’t improve after a week of home treatment Tips for Living Better With Migraine More from WebMD Table of Contents Signs and symptoms[edit] There are a couple of ways to do this. The simplest, least invasive way (and the one I teach my patients!) is to soak the affected digit in warm water and then, once the skin has softened, to gently separate the skin of the lateral nail fold from the nail itself using a sterile flat, blunt-edged instrument. This technique is pretty old; in fact, while looking for images to use in this post I came across this picture from “The Practice of Surgery (1910)” About UsLocationsQuality & Patient SafetyOffice of Diversity & InclusionPatient ExperienceResearch & InnovationsGovernment & Community RelationsCareersFor EmployeesResources for Medical Professionals Some practitioners use topical antibiotics for these patients and there is some evidence that if you are going to give topical antibiotics, there is some (weak) evidence that adding a topical steroid (betamethasone) to your fusidic acid might speed up resolution of pain. I do tend to send a pus swab off if I get some good stuff out – particularly for those immunocompromised patients I’m going to treat with antibiotics from the outset. Water and irritant avoidance is the hallmark of treatment of chronic paronychia. Doctors & Hospitals Wound care will often need to be continued at home. This may include daily warm water soaks, dressing changes, and application of antibiotic ointment. The different types of wound care are extensive. Your doctor should explain in detail. Body-Focused Repetitive Behavior 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? motion of the MCP joint to "shake off the pain" may drive saliva deeper into the tissue Chronic paronychia. Medical Reference EM Journal Clubs Anatomy of a nail Languages Rehabilitation Services Donate to Wikipedia External links[edit] Chronic paronychia tends to be more difficult to diagnose. A potassium hydroxide (KOH) test, in which a smear is extracted from the nail fold, can sometimes confirm a fungal infection. If pus is involved, a culture is usually the best way to confirm the presence of fungus or other, less common infective agents. seborrheic dermatitis | finger infection pus seborrheic dermatitis | fungal paronychia seborrheic dermatitis | how to treat paronychia at home
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