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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.
In addition to the symptoms of an ingrown nail, a paronychia can also cause warmth, pain and even buildup and drainage of pus. Ingrown nails are common, affecting 2% to 5% of the population annually.
Paronychia is a bacterial or fungal infection where the nail and skin meet. Koilonychia is when the nail curves upwards (becomes spoon-shaped) due to an iron deficiency. The normal process of change is: brittle nails, straight nails, spoon-shaped nails.
Surgical treatment for an ingrown nail is carried out by a podiatrist, a foot and ankle specialist. This is typically an in-office procedure requiring local anesthesia and special surgical instruments. The surgical approach is the removal of the offending part of the nail plate known as a wedge resection. [10]
[19] [20] Clinically, the diagnosis of any particular skin condition is made by gathering pertinent information regarding the presenting skin lesion(s), including the location (such as arms, head, legs), symptoms (pruritus, pain), duration (acute or chronic), arrangement (solitary, generalized, annular, linear), morphology (macules, papules ...
Patients with a substantial deviation of the nail plate or early sequelae, such as recurring episodes of acute paronychia and/or infections, may be candidates for surgical therapy up to the age of two. [6] [18] The primary course of treatment involves rotating the entire nail unit to permit the nail plate to develop parallel to the distal ...
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When kept dry and away from further trauma, the nail will reattach from the base upward (i.e., from proximal to distal). The aim of treatment is also to eliminate onychomycosis that is a major cause of onycholysis. Antifungals like terbinafin and itraconazole in the form of oral pills should be given for 6 to 8 weeks. [11]