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Friday, October 14, 2016

Paronychia


A 35 year old female comes to the clinic complaining of pain and swelling of one of her fingers. The swelling and pain is just proximal to the finger nail and she has also noticed pus coming from this area. Examination reveals redness, swelling and purulence of the nail fold as shown in the picture above. The area is very tender to palpation.

What is your diagnosis?

Paronychia

Case Discussion:
The term Paronychia refers to the inflammation of the nail fold. It can be acute or chronic and can occur secondary to a number of reasons that include:


  • Fungal infections
  • Bacterial infections
  • Contact dermatitis.
  • Psoriasis.
Bacterial paronychia is usually acute in nature and is characterized by swelling, erythema , discomfort and sometimes purulence. The most common cause is Staphylococcus aureus.

Treatment requires drainage of a focal abscess if present and oral antibiotic therapy. 

Chronic paronychia develops from chronic irritant dermatitis and loss of cuticle from trauma or nail care practices. It can also occur secondary to candida infections. 


3 comments:

  1. Hello, my name is Betty. i was diagnosed of HIV virus 4 years back. Before then, i was dating this Derrick guy. we had something great going on. Our love life only lasted for 8 months. the sixth and seven month of our relationship, i began feeling very weak every now and then. But i never suspected anything until I kept on experiencing different symptoms like having sore throats, constant headache, body weakness e.t.c. I decided to go for a medical check up. I was tested HIV positive. when the doctor broke the news to me, it was as if my whole world had crumbled. it dawned on me then that Derrick has been lying to me. i was very mad to an extent i almost committed suicide. But there was nothing i could do, other than weep and weep. ever since then, i have been spending heavily on medications, going from one medical clinic or the other so I can look healthy. Though since i was a kid, i love herbs a lot. i take herbal tea with grandma while growing so i am quite familiar with herbs. early last year, i was on the internet and on a particular health blog, to check for herbal medication as alternative. I saw many comments and read many testimonies. Until i came across a particular testimony on how Dr.ugo cured a patient from herpes simplex virus using pure natural herbs. i reached out to the doctor because I also was thinking Herpes had no cure. I told him about my HIV status.He encouraged me not to panic that he will help me get my deliverance. he prepared some herbs and sent them to me. The herbs were in four 70ml bottles and I took them morning and night. i used as he directed, and in less than three weeks, i started having appetite to eat plenty of food and i gained back my strength. the fourth week,I consumed all the herbal meds. He encouraged me to go for a test which i did. This time, the result was negative. I quickly contacted the doctor and informed him of the news. I immediately asked him to prepare for Derrick too. He did and sent it. Today, me and Derrick are HIV free. All thanks goes to God Almighty for healing us through Dr.Ugo. if you are having any kind of sickness at all, Dr.Ugo is the right person to talk to and i assure you, you will be glad you did. His email: ugoherbalhome@gmail.com you can also write him on WhatsApp +2348104990619.

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    Replies
    1. Stop spreading lies. The HIV virus has no cure. People could die because of this type of false information. If someone is truly HIV positive, they need to be taking their perscribed medication, not herbal supplements.

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  2. There is no cure to the HIV virus. Stop spreading harmful lies.

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