2nd order laboratory parameters – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Fasting glucose (fasting blood glucose). Swab/sample collection for microbiological examination – for targeted bacteriological and mycological diagnostics.
Therapeutic target Avoidance of complications Therapy recommendations Antibiotics (penicillins) or antifungals (antifungals). If necessary, local antiseptic (“directed against germs“) agents such as ethacridine lactate monohydrate. Surgical therapy if previously performed drug therapy does not work. See also under “Further therapy“.
Optional medical device diagnostics – depending on the results of history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic workup Radiographs of the affected finger(s) or toe(s) to evaluate the possible spread of inflammation to the bone
1st order Phlegmon (purulent, diffusely spreading infectious disease of soft tissues): surgical relief and drainage (drainage of wound secretions or fluids by means of a tube) under broad-spectrum antibiosis 2nd order – when previously performed drug therapy does not work or the inflammation worsens (redness, swelling, throbbing pain, hyperthermia). Paronychia: incision (surgical opening) along the … Nail Bed Inflammation (Paronychia): Surgical Therapy
To prevent paronychia (nail bed inflammation), attention must be paid to reducing individual risk factors.Behavioral Risk Factors Work in a moist environment Injuries, e.g. by a splinter of wood.
The main symptoms of acute paronychia (nail bed inflammation) are: Redness Swelling Pain in the area around the nail Likewise, an accumulation of pus is possible More rarely, it can come to a deformation of the nail or even rejection Chronic paronychia is usually not noticed by the affected person, often only a slight redness … Nail Bed Inflammation (Paronychia): Symptoms, Complaints, Signs
Pathogenesis (development of disease) The development of acute paronychia is favored by trauma (injury) or ingrown nails, as these provide ideal entry sites for fungi and bacteria. The bacteria are mostly staphylococci and streptococci. Patients with diabetes mellitus are often affected by chronic paronychia due to their generally weakened immune system. Similarly, people whose hands … Nail Bed Inflammation (Paronychia): Causes
Patients with diabetes mellitus often present with paronychia (nail bed inflammation) due to their weakened immune status. For therapy of nail bed inflammation, the treatment of diabetes mellitus is paramount (see under the corresponding disease). The following recommendations apply to all patients with paronychia – regardless of the cause of the conditions. General measures Immobilization … Nail Bed Inflammation (Paronychia): Therapy
Medical history (history of illness) represents an important component in the diagnosis of paronychia (nail bed inflammation). Family history Are there frequent infectious diseases in your family? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). Have you noticed signs of inflammation such as redness, swelling, and pain on a … Nail Bed Inflammation (Paronychia): Medical History
Endocrine, nutritional, and metabolic diseases (E00-E90). Diabetes mellitus Skin and subcutaneous tissue (L00-L99) Unguis incarnatus – ingrown nail. Infectious and parasitic diseases (A00-B99). Bacterial infections, usually with staphylo- or streptococci. Mycoses (fungal infections), unspecified. Injuries, poisonings, and other sequelae of external causes (S00-T98). Trauma (injury), unspecified
The following are the most important diseases or complications that can be caused by paronychia (nail bed inflammation): Skin and subcutaneous (L00-L99). Hollow hand phlegmon – diffuse inflammation of the connective tissue of the hand in the area of the palmar aponeurosis (tendon plate). Panaritium articulare – inflammation on the finger / toe spreading to … Nail Bed Inflammation (Paronychia): Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing) of the nails [redness, swelling, collection of pus under the nail, deformation of the nail, or even rejection (both rare)] Dermatological examination [due topossible secondary diseases: Hollow hand phlegmon … Nail Bed Inflammation (Paronychia): Examination
