• Acute paronychia usually follows a break in the skin between the cuticle and the nail plate due to:
  • Trauma
  • Ingrown toenails
  • Oral retinoids and chemotherapy
• Chronic paronychia occurs in people with hand dermatitis or who have constantly cold and wet hands.
• Diabetics and immune suppressed patients are at risk.

Clinical Features

• Acute paronychia The nail fold becomes red, swollen and painful. Yellow pus may appear under the cuticle
• Chronic paronychia The affected nail fold gradually becomes swollen, creating a space between the nail plate, allowing organisms and irritants to enter.

Treatment

• Acute paronychia
  • Warm water soaks
  • Topical antiseptic
  • Oral antibiotics
• Chronic paronychia
  • Keep the hands dry and avoid wet work
  • Topical treatment of dermatitis and fungal infection