Rigopoulos, Dimitris; Larios, George; Gregoriou, Stamatis; Alevizos, Alevizos (1 February 2008). "Acute and Chronic Paronychia". American Family Physician. 77 (3): 339–346. ISSN 0002-838X. PMID 18297959. Chronic paronychia is treated by avoiding whatever is causing it, a topical antifungal, and a topical steroid. In those who do not improve following these measures, oral antifungals and steroids may be used or the nail fold may be removed surgically. [20] Antibiotics [ edit ] An ingrown toenail can also cause paronychia. Moisture allows certain germs, such as candida (a type of fungus) and bacteria to grow. Paronychia is nail inflammation that may result from trauma, irritation or infection. It can affect fingernails or toenails.

Paronychia (Whitlow): Causes, Symptoms, and Treatment | Patient

Pabari A, Iyer S, Khoo CT. Swiss roll technique for treatment of paronychia. Tech Hand Surg 2011;15:75–7. PubMed.

What are the clinical features of paronychia?

Grover et al.[ 24] treated 30 patients of chronic paronychia with nail plate irregularities by en bloc excision of PNF with or without nail plate removal. Of these, 70% of patients were cured in group, in which en bloc excision with nail avulsion was performed, whereas only 41% were cured in group where en bloc excision without nail avulsion was performed; however, the difference was not significant statistically. Thus, they concluded that though en bloc excision of the PNF is a useful method in recalcitrant paronychia, simultaneous nail avulsion improves the surgical outcome. Acute and chronic skin infections tend to be more frequent and aggressive in patients with diabetes or chronic debility, or that are immune suppressed by drugs or disease. What causes paronychia? If the problem has dragged on for six weeks or more, it is called chronic paronychia. Chronic means persisting. If this is the case there may be an underlying skin condition. In other cases there can be infection with a yeast or fungus. This is particularly common in those people mentioned above who have their hands in water a lot.

Management | Paronychia - acute | CKS | NICE

In a study conducted by Rigopoulos D et al.,[ 8] tacrolimus 1% ointment and betamethasone 17-valerate cream was found to be more effective in patients of chronic paronychia than just emollient application, confirming allergens and irritants have indeed an important contribution to the pathogenesis of chronic paronychia.Tea tree oil can act as an active antioxidant that powerful natural disinfectant. Its because can kill bacteria, Germs or other micro-microorganisms cause the paronychia to get worse. How to treat paronychia by using tea tree oil is very easy to apply. That is by dripping on paronychia or smeared with gauze. 11. Lemon water Acute paronychia is usually caused by bacteria. It is often treated with antibiotics, either topical (applied to the skin) or oral (taken by mouth), or both. Chronic paronychia is most often caused by a yeast infection of the soft tissues around the nail but can also be traced to a bacterial infection. If the infection is continuous, the cause is often fungal and needs antifungal cream or paint to be treated. [9] What we do not realize is, paronychia can be caused by a lot of common things that we do every day with our hands. There are two types of paronychia: acute and chronic. These conditions depend on the causative infecting agent, the speed of onset, and duration of the infection.

Nail problems - NHS

Do not be alarmed if it takes some time for the symptoms to improve as the body’s response may not be noticed immediately,” DeRosa says. “However, if you see that symptoms are not improving within this timeframe or symptoms are reappearing after initially getting better, it’s probably time to seek professional medical help.” If a fungal infection causes chronic paronychia, a doctor will prescribe antifungal medication. These topical medications typically include clotrimazole or ketoconazole.

Thank you

Rigopoulos D, Gregoriou S, Belyayeva E, Larios G, Kontochristopoulos G, Katsambas A. Efficacy and safety of tacrolimus ointment 0.1% vs. betamethasone 17-valerate 0.1% in the treatment of chronic paronychia: an unblinded randomized study. Br J Dermatol. 2009;160:858–60. PubMed Patients with diabetes and vascular disease with toenail paronychia infections should be examined for signs of cellulitis. Those who have diabetes should ensure to carefully manage their blood sugar levels. Practice and maintain good hygiene by carrying out the proper handwashing habits. Avoid sharing your towels with other people to prevent the spread of infection. Outlook