Inflammation of the cuticle

A paronychia is the inflammation of the surrounding cuticle (nail fold). A paronychia can be caused by small traumas and cracks in the cuticle, through which pathogens can enter. There are several pathogens that can cause paronychia, of which staphylococci are most commonly involved.

But also the fungus Candida or a primary infection with syphilis can manifest itself in a paronychia. Nail biting, finger sucking and excessive manicure and pedicure can damage the cuticle and lead to the entry of the pathogens. Paronychia is characterized by cracked cuticles, swelling and redness. It is also painful under pressure. If the infection spreads to surrounding structures such as the nail and the nail bed, changes can also be seen here.

Cracked cuticles in children

Cracked cuticles can occur in children for the same reasons as in adults. In addition, there may be an increased need for vitamin B 2 during certain growth phases of childhood and puberty. In addition, cracked cuticles can develop or worsen in children when the cuticles are nibbled or nibbled in stressful situations.

Depending on their age, children may find it harder to understand why they should not do this. This makes it easier for bacteria to penetrate. Consequently, bacterial inflammation can occur.

The treatment of cracked cuticles in children depends on the cause. This should be found out with the help of a pediatrician. If there is a vitamin deficiency, they must be individually substituted.If a care problem is the cause, gentle care products or household remedies suitable for children can be used.

In order for the children to take part in these care measures regularly, a little creativity is required from the parents. It is helpful to carry out these measures at fixed times and in the context of a game or story. The more fun the children have with the care rituals, the easier it is for them to follow them regularly.

If the cracked cuticle is caused by mental problems or reduced mental resilience, it is essential to find out the cause. The child should be given enough space and time and should be assisted by confidants so that he or she can process certain events or situations. The therapy of perionychophagia or onychophagia should be directed against the causes and less against the symptoms.

Attempts should be made to treat the psychological pressure, stress, anxiety or the previous psychological illness. Autogenic training and relaxation techniques can help the affected person to control their behavior and thus stop chewing. Since perionychophagia often develops in early childhood (from about 4 years), play therapies are used here.

Behavioral therapies can be performed on older children and adults. If inflammation has already developed, antiseptic sprays and ointments can be used. Furthermore, cracked skin can be treated with plasters and bandages as well as soothing creams.

An attempt can also be made to prevent those affected from chewing with bitter nail polishes from the pharmacy. However, this method does not always show success. The therapy of paronychia is quite simple in uncomplicated cases. Usually an ointment bandage and immobilization of the affected finger or toe is sufficient. If the infection has spread into the depths, an incision (incision) with drainage of the pus may be necessary.