REAN Foundation

    • Register
    • Login
    • Search
    • Categories
    • Unread
    • Recent
    • Tags
    • Popular
    • Admin

    Paronychia Clinical Presentation

    General Health
    2
    2
    26
    Loading More Posts
    • Oldest to Newest
    • Newest to Oldest
    • Most Votes
    Reply
    • Reply as topic
    Log in to reply
    This topic has been deleted. Only users with topic management privileges can see it.
    • S
      Shubhangi last edited by

      Can someone share the clinical presentation of paronychiaÉ

      W 1 Reply Last reply Reply Quote 0
      • W
        Wei @Shubhangi last edited by

        @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.

        1 Reply Last reply Reply Quote 0
        • First post
          Last post