AI Article Synopsis
- * Acute infections occur when there's a disruption between the nail fold and nail plate, allowing bacteria to enter; treatments include warm soaks, antibiotics, and possibly surgery.
- * Chronic paronychia requires avoidance of irritants, and treatment may involve antifungal agents, steroids, or surgery; persistent cases may need further investigation for underlying issues like cancer.
Article Abstract
Paronychia is one of the most common infections of the hand. Clinically, paronychia presents as an acute or a chronic condition. It is a localized, superficial infection or abscess of the paronychial tissues of the hands or, less commonly, the feet. Any disruption of the seal between the proximal nail fold and the nail plate can cause acute infections of the eponychial space by providing a portal of entry for bacteria. Treatment options for acute paronychias include warm-water soaks, oral antibiotic therapy and surgical drainage. In cases of chronic paronychia, it is important that the patient avoid possible irritants. Treatment options include the use of topical antifungal agents and steroids, and surgical intervention. Patients with chronic paronychias that are unresponsive to therapy should be checked for unusual causes, such as malignancy.
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