Paronychia Fingernail & Toenail Disorders

Paronychia Fingernails & Toenails

Paronychia Fingernails & Toenails

What is Paronychia Nail Disorder?

How to recognize Paronychia Nail Disorder?

The nail disease paronychia is an often tender bacterial or fungal infection where the nail and skin meet. It can start suddenly (acute paronychia) or gradually (chronic paronychia). Pus is usually present, along with gradual thickening and browning discoloration of the nail plate.

Paronychia around the entire nail is sometimes referred to as runaround paronychia. Chronic paronychia is most often caused by a yeast infection of the soft tissues around the nail but can also be traced to a bacterial infection. Individuals who work with their hands in water, such as health care workers and food processors, are quite prone to this type of infection.

Paronychia: Home & Medical Treatment.


Care at home includes warm soaks in a mixture of 50% warm water and 50% liquid antibacterial soap 3-4 times daily for about 15 minutes. This soaking should be done at the first sign of redness around the nail. Usually, antibiotics are only prescribed if the infection involves more of the finger than around the nailbed. It is important to follow up with your doctor in 24-48 hours to be sure that the infection is healing properly.


Most cases of acute paronychia should be treated with antibiotics such as cephalexin or dicloxacillin. Topical antibiotics or anti-bacterial ointments do not effectively treat paronychia. If there is pus or an abscess involved, the infection may need to be incised and drained. Rarely, a portion of the nail may need to be removed. Chronic paronychia is treated with topical antifungal medication such as ketoconazole cream. A mild topical steroid like hydrocortisone may be added to the antifungal medication to help reduce inflammation. Steroids should never be used alone on a chronic paronychia.

Paronychia according the Nail Tutor (erythema proximal fold) Paronychia according the Nail Tutor (nail fold swelling) Paronychia according the Nail Tutor (edema nail fold)


described in the Nail Tutor!
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