dermatologic disorders
Chronic Paronychia
Treatment
Avoiding irritants and excessive water exposure Topical corticosteroids ortacrolimus Sometimes intralesional corticosteroids and antifungal drugs For severe or refractory disease, surgery Avoiding irritants and excessive water exposure helps the cuticle reform and close the space between the nail fold and nail plate. Gloves or barrier creams are used if water contact is necessary. Topical drugs that may help include corticosteroids andtacrolimus0.1% (a calcineurin inhibitor). Intralesional corticosteroid injections in to the hypertrophic proximal nail fold may expedite improvement. Antifungal treatments are added to therapy only when fungal colonization is a concern. Severe or refractory cases may require surgery ( Treatment reference ). If there is no response to therapy and a single digit is affected, Squamous Cell Carcinoma should be considered and a biopsy should be done. 1.Relhan V, Goel K, Bansal S, Garg VK: Management of chronic paronychia.Indian J Dermatol59(1):15-20, 2014. doi: 10.4103/0019-5154.123482 