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Paronychia is an inflammation of the skin around the nail, often due to bacteria or fungi. Its sudden (acute) occurrence is usually due to the bacterium Staphylococcus aureus . Gradual (chronic) occurrences are typically caused by fungi, commonly Candida albicans .
The basis of laser treatment is to try to heat the nail bed to these temperatures in order to disrupt fungal growth. [49] As of 2013 research into laser treatment seemed promising. [ 2 ] There is also ongoing development in photodynamic therapy , which uses laser or LED light to activate photosensitisers that eradicate fungi.
After topical antibiotic treatment, the discolored nail section is receding. Oral antibiotics are rarely necessary, helpful [4] or recommended by all practitioners. [3] Moderate cases of green nail syndrome may be prescribed topical antibiotics (silver sulfadiazine, gentamicin, ciprofloxacin, bacitracin and polymyxin B). [16]
Anatomy of the basic parts of a human nail.A. Nail plate; B. lunula; C. root; D. sinus; E. matrix; F. nail bed; G. eponychium; H. free margin. Onychia is an inflammation of the nail folds (surrounding tissue of the nail plate) of the nail with formation of pus and shedding of the nail.
A bacterial infection, treatable with antibiotics. One study compared patients with ingrown toenails to healthy controls and found no difference in the shape of toenails between those of patients and of the control group. The study suggested that treatment should not be based on the correction of a non-existent nail deformity.
For home treatment, the American Academy of Dermatology recommends clipping the loose piece of skin with a clean nail clipper or nail scissors, and applying over-the-counter antibiotic ointment if the area appears inflamed. Persistent hangnails should be evaluated by a physician. [5]
Bowel-associated dermatosis–arthritis syndrome (bowel bypass syndrome, bowel bypass syndrome without bowel bypass, intestinal bypass arthritis–dermatitis syndrome) Marshall syndrome; Neutrophilic dermatosis of the dorsal hands (pustular vasculitis of the dorsal hands) Neutrophilic eccrine hidradenitis; Pyoderma gangrenosum
The article says "Paronychia is often treated with antibiotics, sometimes as a cream" -- but later it says, "Topical antibiotics or anti-bacterial ointments do not effectively treat paronychia." Would someone with medical training please resolve this contradiction.