Acute paronychia - causes, symptoms, diagnosis, treatment, photo
- 18 Jun 21:45
- Disease Of The Skin
Paronychia is called localized infection or abscess nail roller. This disease is a common type of infectious process that affects the skin of the hands.
Distinguish acute and chronic paronichiyu, the disease is considered chronic if it lasts more than 1.5months. The acute process is presented, as a rule, by the formation of a painful abscess, located on the nail plate.
Paronychia is considered a fairly widespread disease, however, its frequency remains unknown, since not all patients with this problem turn to the doctor.
- 1 Causes of development of
- 2 Clinical picture of
- 2.1 Possible complications of
- 3 Methods of diagnosis
- 4 Treatment of
- 4.1 Treatment with the use of popular methods
- 5 Forecast and prevention of
- 6 Photo
Causes of development of
The cause of the development of paronychia is infection. Often, an infectious agent is a staphylococcus aureus or a streptococcus, the disease is more likely to provoke pseudomonas aeruginosa or enterococci. Other bacteria or viruses may also be responsible for the development of paronychia.
Conditions for infiltration and development of paronychia should be created. These are various injuries associated with skin damage, as well as skin maceration, circulatory disorders or metabolic processes, hyperhidrosis and others.
Acute paronychia often develops in people who have a habit of nibbling nails or sucking a finger. In this case, infection can occur due to ingestion in the morning of microorganisms living in the oral cavity
. Spiral paronychia may incorrect manicure techniques, inadequate removal of blobs, improper use of overhead nails.
Paronychia may be the primary focus of infection, but more often, this disease occurs as a secondary hearth formed by the transmission of an infection from an already existing abscess on the other skin of the skin.
There is a particularly high risk of developing paronychia in people with diabetes, low immune status or undergoing retroviral therapy or steroid treatment.
Clinical picture of
The main symptoms of paronychia are redness, swelling, pain in the nail roller. Most often fingers are affected, but paronychia may develop on the fingers of the legs. The hearth can be located only on one or at once on several fingers.
It is accepted to allocate three clinical forms of paronychia - horn or dry, tournioles and ulcers or erosive.
Possible complications of
Many patients are perceived to be paronoid as a non-serious disease, therefore, not all seek medical attention at first symptoms of inflammation.
In the absence of treatment, development of a large abscess with the spread of the inflammatory process on the tissue under the nail plate is possible. In this case, the patient will already need surgical treatment.
In severe cases, as a rule, in patients with diabetes, the inflammatory process in paronychia can spread to the bone tissue, and the infection can enter the bloodstream. Such a course of the disease may end with the need to amputate the finger.
Urgent medical attention should be sought if, in the case of paronychia:
- There is no therapeutic effect of the treatment;
- Redness and edema extends beyond the patient's finger;
- There are signs of fever and chills;
The basic method for diagnosing paronychia is an external review. Patients complain of acute localized pain that increases when pushed. The roller in the nail looks lit, with an abscess, you can see a cluster of pus.
It is necessary to distinguish between pyococcal and candidiasis paronychia. The disease of the fungal nature proceeds less acutely, without the formation of large abscesses, and in the study of a smear, taken from under the nail, detect yeast fungi. When conducting a differential analysis, do not forget that there may be a mixed infection - yeast and pyoocculae.
With the acute flow of paronychia without abscess formation, it is shown the use of trays with antiseptic solutions, overlaying of warming compresses, maintaining the elevated position of the patient's finger. In the paronychia of piococcal nature, antibiotics are prescribed - Erythromycin, Tetracycline, Cephalexin.
At the formation of the abscess, surgical treatment of paronychia, which consists in opening the pus and setting the drainage, is shown. If the abscess is located in the underlying space, the removal of the nail is shown.
Treatment using folk methods
Treatment of paronychia should begin with the onset of the first symptoms. If a patient for some reason can not immediately contact a doctor, you can use folk methods.
With the appearance of the first signs of paronychia, it is worth starting to make hot baths with the addition of soda or potassium manganese. The water should be very hot, but so that it can be tolerated. Take a spoon of soda on a glass of water. If you use manganese, then the solution should be in saturated color. To spend such baths for the treatment of paronychia need often - 6-8 times a day.
After carrying the tray should be applied to the nail rollers of flagella from witch from ichthyol ointment or Vishnevsky ointment.
At night during paronychia on an aching finger it is possible to make an alcoholic compress, adding to the nail a cotton swab moistened with alcohol, and fastened with a bandage.
In the absence of the effect of home treatment of paronychia or in the spread of the process, immediately consult a doctor!
Forecast and prevention of
A prognosis in acute form of paronychyemia, provided that timely initiated treatment is good. The prevention of the development of this disease is as follows:
- It is necessary to avoid the damage of nail plates in every possible way. You should abandon the habit of fingering your nails.
- When performing manicure, you need to act very neatly. It is better to abandon the circumcision manicure, that is, do not cut the cuticle, but simply gently push it, pre-nailing a special cream on the nail rollers.
- Use only high-quality nail polish and never rub lacquer with acetone, today there are more milder means for removing old nail varnish.
- Nails should be protected from the effects of chemicals. If necessary, work with chemicals should be used gloves.
- To protect the nail rollers on the toes, you should refrain from wearing compressing shoes, changing socks and pantyhose more often. Nails on the legs do not need to cut too short, the shape of them need to provide a rectangular, not rounding corners.