Suppurative paronychia

Introduction to suppurative paronychia Syphilitic paronychia (pyogenicparonychia) is an acute or chronic suppurative infection of the skin around the nail, showing redness, suppuration or scarring, accompanied by significant pain. This disease is caused by Staphylococcus infection, and is also caused by Candida albicans or other bacteria. More secondary to local trauma, tear, incarcerated contusion, reverse stripping (stabbing) or shearing too deep and other injuries. Excessive water immersion, various physical and chemical stimuli, and long-term use of corticosteroids or immunosuppressants are prone to this disease. basic knowledge The proportion of illness: 0.023% Susceptible people: no specific population Mode of infection: cross infection Complications: foreign body granuloma

Cause of purulent paronychia

Acute paronychia is caused by staphylococcal infection, and often secondary to local trauma, tear, bite, but also has no history of local trauma. Chronic paronychia is often impregnated with moisture, such as chefs, fish merchants, laundry or silk reeling workers, causing wrinkles to soak, making it easy to separate from the nail profile, and suffering from pyogenic bacteria, Pseudomonas aeruginosa, Candida and common Infection of Proteus or the like.

Suppurative paronychia prevention

1. In the units prone to pyoderma (such as some factories, agricultural machinery stations, primary schools, etc.), extensive publicity and education on the prevention and treatment of suppurative skin diseases, regular preventive inspections, as far as possible to eliminate all factors.

2. Pay attention to skin hygiene, strengthen physical exercise and increase skin resistance.

3. Maintain the integrity of skin function. For skin diseases, especially pruritic skin diseases, timely treatment should be carried out to prevent skin damage and avoid irritation such as scratching and skin friction.

4. Clothes, towels, basins, etc. are prohibited from public use to prevent contact with infection. The patient should be properly isolated. The dressings and contact materials used by the patient should be strictly disinfected or burned. During the illness, it is forbidden to use the liquid to clean the skin lesions. Wash the affected area with tap water to prevent extension.

5. When you are sick, you should ban alcohol or spicy food, and eat less food.

Complication of suppurative paronychia Complications, foreign body granuloma

Chronic paronychia can produce granuloma. For severe cases, bacteria can enter the blood circulation system through the infected area, causing sepsis and high fever, shortness of breath, palpitation and other purulent complications of tissues and organs.

Symptoms of purulent sulcus inflammation Common symptoms of sputum purulent secretions, loss of appetite, peri-inflammation, granuloma, toenail, long heat, aversion to cold

1, acute paronychia at the beginning of the nail slightly mild swelling, pain and tenderness, and some can subside, some purulent, and can evolve into a periorbital inflammation or sub-abscess, pain increased, see a yellow pus under the nail Accumulation, A is separated from the base.

2, the chronic disease of chronic paronychia is chronic, prolonged, the sulcus has mild redness, pain, and a small skin peeling. A small amount of pus flows out of the sulcus, and the edge of the nail and the sulcus become black, and the knot can gradually develop. Inflammatory granulation tissue with nodular or verrucous protrusion, secrete pus from time to time, easy to bruise and hemorrhage, part of nail damage, nail deformation is reduced, there is longitudinal ridge or transverse groove on nail, and pus sneak under nail. When serious, A can be completely loose and fall off.

Examination of suppurative paronychia

In the presence of systemic symptoms or secondary acute lymphangitis, the total number of peripheral blood leukocytes and neutrophil counts increased.

Diagnosis and diagnosis of suppurative paronychia

Acute paronychia

(1) often secondary to local trauma, tears and bites.

(2) The initial ditch has mild redness, pain and tenderness.

(3) can naturally subside or purulent, severe cases can evolve into peri-inflammation or subarachnoid abscess, increased pain.

2. Chronic paronychia

(1) The work is often subject to wet impregnation history.

(2) The course of the disease is chronic, the sulcus has mild redness and pain, and the nails fall off. In severe cases, the sulcus is pus and the nails are loose.

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