dermatologic disorders
Chronic Paronychia
Introduction
Chronic paronychia is recurrent or persistent nail fold inflammation, typically of the fingers. (See also Overview of Nail Disorders .) is often present, but its role in etiology is unclear; fungal eradication does not always resolve the condition. The condition may be an Contact Dermatitis with secondary fungal colonization. The nail fold may be red and tender with repeated bouts of inflammation and often becomes fibrotic. Unlike Acute Paronychia , there is almost never pus accumulation. There is often loss of the cuticle and notable separation of the nail fold from the nail plate. This separation leaves a space that allows entry of irritants and microorganisms. The nail may become dystrophic over the long term. Diagnosis of chronic paronychia is clinical. Signs of chronic paronychia in this patient include absent cuticle, swollen proximal nail fold, and Beau lines of the nail plate. © Springer Science+Business Media © Springer Science+Business Media © Springer Science+Business Media 