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Cervical spine infection arising from chronic paronychia: A case report and review of literature.
World J Orthop
December 2024
Department of Orthopedics and Spine Surgery, Guangxi University of Traditional Chinese Medicine Affiliated International Zhuang Hospital, Nanning 530201, Guangxi Zhuang Autonomous Region, China.
Background: Cervical spine pyogenic infection (CSPI) is a rare and challenging form of spinal infection that is typically caused by pyogenic bacteria and primarily affects the cervical vertebral bodies and surrounding tissues. Given its nonspecific symptoms, such as fever and neck pain, early diagnosis is crucial to prevent severe complications, including spinal cord injury. We report a previously unreported case of acute CSPI arising from chronic paronychia, exploring its diagnostic and therapeutic challenges through a review of the current literature.
View Article and Find Full Text PDFChronic occupational paronychia secondary to digital pilonidal sinus from dog grooming.
J Occup Health
December 2024
Griffith University School of Medicine and Dentistry and Gold Coast University Hospital, Southport, Queensland, Australia.
Objectives Pilonidal sinus is a recognized occupational condition sometimes seen in barbers and pet groomers, and it involves most commonly interdigital spaces. We present a previously unreported case of chronic paronychia with two separate digital pilonidal sinuses resulting from multiple embedded hair fragments in the eponychium of a dog groomer, who had been repeatedly treated with antibiotics with no success and ended up to surgical treatment. The objective of this study is to remind readers of this rare but possible occupational disease, particularly among employees working with hair, and to emphasize the importance of preventive measures to prevent its occurrence.
View Article and Find Full Text PDFNail changes in patients receiving systemic isotretinoin therapy.
Sci Rep
October 2024
Dermatology and Venereology, Ankara Training and Research Hospital, Health Sciences University, Hacettepe Mh. Ulucanlar Cd. No: 89, Altındağ/Ankara, Turkey.
Article Synopsis
- - The study investigated nail changes caused by isotretinoin treatment in 200 patients with acne vulgaris, comparing 100 on isotretinoin and 100 on topical treatments.
- - Results showed that 34% of patients on isotretinoin experienced nail changes, with onychoschizia being the most common, while only 11% in the topical group had similar issues.
- - Nail changes associated with isotretinoin are linked to the total dose taken, not the duration of treatment, but these changes are completely reversible after stopping the medication.
Trauma a major contributing factor of retronychia: Case series.
Int J Surg Case Rep
November 2024
Faculty of Medicine, Hama University, Hama, Syria. Electronic address:
Introduction: Retronychia is defined as a condition where the proximal nail plate grows into the proximal nail fold with the formation of multiple layers of nail plates. It relates to frequent microtrauma that affects the toenails, especially the big toe and it is less common on the fingernails.
Case Presentation: Case 1: A 14-year-old female presented with nail growth stopped and painful swelling in her left hallux that did not respond to antibiotics.
A case report of diet elimination guided by food specific IgG4 achieved clinical cure for eczematous external otitis with finger paronychia.
Medicine (Baltimore)
September 2024
Department of Allergy and Clinical Immunology, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China.
Article Synopsis
- Eczematous external otitis (EEO) is a challenging condition characterized by itchy inflammation in the external ear canal, often linked to dermatological or allergic responses, including potential food allergies, although the role of food-specific IgG4 is still not fully understood.
- A 54-year-old woman with EEO experienced persistent itching and chapped hands for several years and was treated through a diet elimination approach that removed egg, milk, and wheat, alongside probiotics, based on her food-specific IgG4 results.
- After 17 months of this treatment, she reported complete relief from symptoms, with food-specific IgG4 levels returning to normal, highlighting the potential importance of food allergens and diet in EEO management.
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