Rx Note

Introduction Paronychia is an inflammation involving the lateral and proximal nail folds . It may be Acute - characterized by the rapid onset of painful erythema and swelling of proximal and lateral nail folds, usually in 2-5 days following a minor local trauma. A superficial abscess is present; lasting for <6 weeks. Chronic - gradual process and commonly occurs in individuals persistently exposed to environmental irritants and allergens (e.g. wet work, food, chemicals). Cultures of chronic paronychia are frequently positive for Candida spp., but it is unclear if yeast is a causative agent or colonizer of underlying inflammation; lasting for 6 weeks or longer. Predisposing Factors Predisposing factors include Overzealous manicuring Nail biting Picking at a hangnail Thumb sucking Ingrown nail Diabetes mellitus Occupations in which the hands are frequently immersed in water Drugs such as antiretroviral agents, systemic retinoids, epidermal growth factor receptor inhibitors (e.g. cet...