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25 paź 2023 · Paronychia is an inflammation involving the lateral and proximal nail folds. It may be acute (lasting for less than six weeks) or chronic (lasting for six weeks or longer) [1].
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- Paronychia
Paronychia. Authors Beth G Goldstein, MD Adjunct Clinical...
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7 sie 2023 · Treatment in chronic paronychia should point toward fungal etiology. Topical and systemic antifungal agents such as itraconazole and terbinafine are options since the etiological factor in chronic type is mostly Candida species.
15 maj 2021 · Treatment involves warm soaks and oral antibiotics and if fluctuance is present, debridement and partial/complete nail removal is warranted.
10 maj 2022 · Mild cases of chronic paronychia may be treated with warm soaks, followed by completely drying the digit. The initial medical treatment consists of the application of topical antifungal...
Chronic paronychia responds slowly to treatment and may take several weeks or months, but this should not be a deterrent to therapy. If the patient is not treated, sporadic painful episodes of acute inflammation may be experienced as a result of continuous penetration of various pathogens.
Nonsurgical management. If diagnosed in the initial stages, AP without an abscess can be treated nonsurgically as described in Table 1. A substantial amount of inflammation, early abscess, or immunocompromised states warrant the initiation of systemic antibiotics [5, 29, 30] [Tables 2 and and33].
Treatment should focus on dermatitis and any microbes grown on culture [1]. Topical corticosteroid ointment is applied for 2–4 weeks and repeated for flares. Tacrolimus ointment is an alternative when dermatitis is not responding to routine management [2].
