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Chronic paronychia is an infection of the folds of tissue surrounding the nail of a finger or, less commonly, a toe, lasting more than six weeks. [4] It is a nail disease prevalent in individuals whose hands or feet are subject to moist local environments, and is often due to contact dermatitis .
The least invasive treatment includes soaking the nail in alcohol and regularly trimming the nail back, [medical citation needed] to dry out the area and prevent bacterial colonization. [15] Some at-home treatments include soaking the nails in vinegar (diluted with water 1:1) or a chlorine bleach solution (diluted with water 1:4) at regular ...
There are several causes of Beau's lines. It is believed that there is a temporary cessation of cell division in the nail matrix.This may be caused by an infection or problem in the nail fold, where the nail begins to form, or it may be caused by an injury to that area.
Anatomy of the basic parts of a human nail.A. Nail plate; B. lunula; C. root; D. sinus; E. matrix; F. nail bed; G. eponychium; H. free margin. Onychia is an inflammation of the nail folds (surrounding tissue of the nail plate) of the nail with formation of pus and shedding of the nail.
For home treatment, the American Academy of Dermatology recommends clipping the loose piece of skin with a clean nail clipper or nail scissors, and applying over-the-counter antibiotic ointment if the area appears inflamed. Persistent hangnails should be evaluated by a physician. [5]
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]
Onychomadesis is defined by the nail plate's detachment from the matrix, its continuous connection to the nail bed, and, frequently but not always, shedding. [4] Beau lines are transverse ridges on the nail plates. [5]
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]
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