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Paronychia is an inflammation of the skin around the nail, often due to bacteria or fungi. Its sudden (acute) occurrence is usually due to the bacterium Staphylococcus aureus . Gradual (chronic) occurrences are typically caused by fungi, commonly Candida albicans .
Nail inspection can give hints to the internal condition of the body as well. Nail disease can be very subtle and should be evaluated by a dermatologist with a focus in this particular area of medicine. A nail technician may be the first to note a subtle change in nail health. [2] [3] [4]
Nourishment is provided to these layers by diffusion from the dermis since the epidermis is without direct blood supply. The epidermis contains four cell types: keratinocytes, melanocytes, Langerhans cells, and Merkel cells.
An ingrown nail, also known as onychocryptosis (from Greek: ὄνυξ (onyx) 'nail' and κρυπτός (kryptos) 'hidden') is a common form of nail disease.It is an often painful condition in which the nail grows so that it cuts into one or both sides of the paronychium or nail bed.
Hangnails can become infected and cause paronychia, a type of skin infection that causes inflammation around the nails. [ 2 ] Hangnails may also cause pain if pulled as they may remain attached to living skin.
Green nail syndrome (chloronychia or Goldman-Fox syndrome [7]) is characterised by discolouration of the infected nail, inflammation of the skin around the nail known as paronychia, and an odour resembling fruit. [3] The colour may range from light or blueish green or yellow-green to darker green or black.
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The full chapter can be found on pages 379 to 393 of Volume 1, which contains all (sub)categories of the ICD-9. Volume 2 is an alphabetical index of Volume 1. Both volumes can be downloaded for free from the website of the World Health Organization.