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Paronychia

In medicine, paronychia (/ˌpærəˈnɪkiə/; Greek: παρονυχία: para-, around, onukh-, nail) is a nail disease that is an often-tender bacterial or fungal infection of the hand or foot where the nail and skin meet at the side or the base of a finger or toenail. The infection can start suddenly (acute paronychia) or gradually (chronic paronychia). Paronychia is commonly misapplied as a synonym for whitlow or felon.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with paronychia, 73% report having hand or finger pain, 67% report having skin on arm or hand looks infected, and 65% report having irregular appearing nails. The symptoms that are highly suggestive of paronychia are hand or finger pain, skin on arm or hand looks infected, irregular appearing nails, hand or finger swelling, skin on leg or foot looks infected, foot or toe swelling, hand or finger lump or mass, and nailbiting, although you may still have paronychia without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with paronychia often receive wound care management, incision and drainage, culture wound, examination of foot, excision, other non-or therapeutic procedures on skin and breast, microscopic examination (bacterial smear; culture; toxicology) and other diagnostic procedures on musculoskeletal system .

Common Medications

The most commonly prescribed drugs for patients with paronychia include cephalexin, clindamycin, bacitracin (septa), povidone iodine topical (betadine), terbinafine topical, hydrogen peroxide topical, trimethoprim, cefadroxil, darifenacin (enablex), bacitracin/neomycin/polymyxin b ophthalmic, atracurium, guaifenesin / hydrocodone / phenylephrine and aluminum sulfate-calcium acetate topical .

Who is at risk?

Groups of people at highest risk for paronychia include age 5-14 years age 1-4 years. On the other hand, age < 1 years almost never get paronychia.

Age

< 1 years
0.0x
1-4 years
1.5x
5-14 years
1.8x
15-29 years
1.2x
30-44 years
1.2x
45-59 years
0.9x
60-74 years
0.4x
75+ years
0.6x

Sex

Male
1.4x
Female
0.7x

Race/Ethnicity

Black
1.2x
Hispanic
1.3x
White
0.8x
Other
1.3x
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