dermatologic disorders
Acute Paronychia
Treatment
Antibiotics effective against staphylococci and streptococci Drainage of pus /sulfamethoxazole) should be chosen based on results of local sensitivity testing. In patients with diabetes and others with peripheral vascular disease, toe paronychia should be monitored for signs of Cellulitis or more severe infection (eg, extension of edema or erythema, lymphadenopathy, fever). Fluctuant swelling or visible pus should be drained with a Freer elevator, small hemostat, or #11 scalpel blade inserted between the nail and nail fold. Skin incision is unnecessary. A thin gauze wick can be inserted for 24 to 48 hours to allow drainage. A case caused by epidermal growth factor receptor inhibitor therapy and refractory to the usual treatments was treated successfully with autologous platelet-rich plasma. 