Diagnosis: Chronic paronychia

Findings: “Nail folds are swollen, erythematous, tender and lifted off the nail plate.” — Dr Alaa Saad

Key teaching points

  • Often lacks the fluctuance seen in acute paronychia though sometimes small amounts of pus can be present
  • Often exacerbated by water contact
  • Mixed microbes often involved including yeast and bacteria
  • There may be an underlying component of dermatitis
  • Treatment may include keeping fingers dry, using barrier creams, topical corticosteroids, antibiotics and anti-yeast medication
  • Trauma should be avoided to the area

Credit: Case submitted by Dr. Alaa Saad to dermRounds Dermatology Network



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