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    Wei

    @Wei

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    Latest posts made by Wei

    • RE: Paronychia Clinical Presentation

      @shubhangi
      History
      The patient's history is crucial in determining the possibility of systemic conditions and risk factors that may predispose an individual to paronychia. These may include the following:

      Diabetes mellitus

      Obesity

      Hyperhidrosis

      Immunologic defects

      Polyendocrinopathy

      Drug-induced immunosuppression

      Retroviral use - Indinavir and lamivudine, in particular, are thought to be associated with an increased incidence of paronychia formation

      Patients may give a history of the following :

      Nail biting

      Finger sucking

      Trivial finger trauma

      Finger exposure to chemical irritants

      Use of acrylic nails or nail glue

      Sculpted nails

      Frequent hand immersion in water

      Also query patients about the duration of symptoms and a history of nail infections and previous treatment.

      Because paronychia has been known to initiate from malignant lesions, any history of prior malignancy or a pigmented, irregular appearance of surrounding tissue should result in appropriate suspicion and referral for biopsy.

      Painless swelling or severe swelling that radiates requires an expanded differential diagnosis. [29] Painless swelling lateral to the nail plate in a patient with osteoarthritis should prompt investigation for a mucous cyst.

      Acute paronychia
      The patient is usually otherwise healthy but complains of pain, tenderness, and swelling in one of the lateral folds of the nail.

      Chronic paronychia
      Generally, patients report symptoms lasting 6 weeks or longer. Inflammation, pain, and swelling may occur episodically, often after an exposure to water or a moist environment.

      Chronic and recurrent paronychial infections should be scrutinized to rule out malignancy or fungal infection.

      posted in General Health
      W
      Wei
    • RE: Is there a cure for osteoporosis?

      @jose-1 Hello, there's no cure for osteoporosis, but proper treatment can help protect and strengthen your bones. These treatments can help slow the breakdown of bone in your body, and some treatments can spur the growth of new bone. Treatment includes medication, a healthy diet, and weight-bearing exercise to help prevent bone loss or strengthen already weak bones. Thank you.

      posted in Bone
      W
      Wei