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Gradual (chronic) occurrences are typically caused by fungi, commonly Candida albicans. [2] [3] [4] Risk factors for paronychia include frequent hand washing and trauma to the cuticle, such as from chronic nail biting or hangnails. [2] Treatment typically involves antibiotics for bacterial infections and antifungals for fungal infections.
Treatment: Mild cases of paronychia may be managed at home, Cleveland Clinic says, with warm water soaks that help drain pus. But if your nail isn't getting better after a few days, or you find ...
This condition may follow certain diseases such as syphilis, or can result from fever, trauma, systemic upsets or adverse reaction to drugs. Onychorrhexis also known as brittle nails, is brittleness with breakage of fingernails or toenails. Paronychia is a bacterial or fungal infection where the nail and skin meet.
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Recurrence may occur following treatment, with a 20-25% relapse rate within 2 years of successful treatment. [13] Nail fungus can be painful and cause permanent damage to nails. It may lead to other serious infections if the immune system is suppressed due to medication, diabetes or other conditions.
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]
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]
Recurrent onychomadesis may be avoided by treating any underlying medical issues or stopping the offending medication. [ 6 ] It is advised to provide supportive treatment in addition to protecting the nail bed by keeping nails short and covering the afflicted nails with adhesive bandages to prevent snagging the nail or tearing off the partially ...