Paronychia

Zaias, Nardo

doi:10.1007/978-94-011-7846-4_13

Cited by 1 publication

(1 citation statement)

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“…[ 17 ] Thus, the accumulating evidence indicates that chronic paronychia is an eczematous condition as discussed above. [ 18 19 ] For this reason, topical and systemic steroids have become the first line of therapy, whereas topical and systemic anti-fungals are of little value now, being used only when there is an associated fungal infection.…”

Section: Etiologymentioning

confidence: 99%

Management of chronic paronychia

et al. 2014

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Chronic paronychia is an inflammatory disorder of the nail folds of a toe or finger presenting as redness, tenderness, and swelling. It is recalcitrant dermatoses seen commonly in housewives and housemaids. It is a multifactorial inflammatory reaction of the proximal nail fold to irritants and allergens. Repeated bouts of inflammation lead to fibrosis of proximal nail fold with poor generation of cuticle, which in turn exposes the nail further to irritants and allergens. Thus, general preventive measures form cornerstone of the therapy. Though previously anti-fungals were the mainstay of therapy, topical steroid creams have been found to be more effective in the treatment of chronic paronychia. In recalcitrant cases, surgical treatment may be resorted to, which includes en bloc excision of the proximal nail fold or an eponychial marsupialization, with or without nail plate removal. Newer therapies and surgical modalities are being employed in the management of chronic paronychia. In this overview, we review recent epidemiological studies, present current thinking on the pathophysiology leading to chronic paronychia, discuss the challenges chronic paronychia presents, and recommend a commonsense approach to management.

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Section: Etiologymentioning

confidence: 99%