Superficial inflammation of the lateral and posterior nail folds surrounding the fingernail or toenail
Acute: characterized by pain, erythema, and swelling lasting less than 6 weeks; ...
Localized pain or tenderness, swelling, and erythema of posterior or lateral nail folds
Acute: fairly rapid onset (2–5 days after trauma)
Chronic: at least 6 weeks’ duration
Acute: warm compresses/soaks, elevation, splint protection if pain severe
Abscesses should be drained
Consider digital block anesthesia. Then, insert nail elevator or hypodermi...
Acute: Postdrainage care consists of warm soaks or soaking with Burow solution or acetic acid BID–TID × 2 to 3 days unless Swiss roll technique used (1)[C].
Goto H, Yoshikawa S, Mori K, et al. Effective treatments for paronychia cased by oncology pharmacotherapy. J Dermatol. 2016;43(6):670–673.
Hengge UR, Bardeli V. Images in clini...
L03.019 Cellulitis of unspecified finger
L03.039 Cellulitis of unspecified toe
L03.011 Cellulitis of right finger
L03.012 Cellulitis of left finger
L03.031 Cellulitis of right toe
Consider tetanus booster when indicated.
Consider incision and drainage when appropriate.
For chronic paronychia, topical steroid is first-line treatment. Consider other differentials in...
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Acute paronychia. Visible swelling, erythema, and discharge along the nail fold, yet the nail itself is intact.
Courtesy of Mary L. Brandt, MD.
Courtesy of Mary L. Brandt, ...
Elevation of the nail fold allows drainage of an abscess associated with an acute paronychia.
Thomas J. Zuber, E.J. Mayeaux JR., Atlas Of Primary Care Procedures. Philadelphia: Lippincott Williams & Wilkins, 2004.
Thomas J. Zuber, E.J. Mayeaux JR., Atlas Of Pr...
FIG. 25.1. Paronychia of the right middle finger. The infection is clearly localized to the dorsal surface (A), although the pulp is slightly swollen (B) due to edema.
FIG. 25.1. Paronychia of the right middle finger. The infection is clearly localized to the dorsal surface (A), although the pulp is sligh...
Chronic green nail in patient who does dishwashing
Onychomycosis: superficial white, big toe