Sir recurrent thumb paronychia cause,treatment.is surgery required
Chronic paronychia is caused by a mixture of yeasts (candida, herpes simplex and bacteria Staphylococcus aureus). It is most common in people who often have their hands in water, detergents or chemicals, have poor circulation (cold hands and feet) or diabetes. Women get chronic paronychia more often than men.. ** Avoiding irritants and excessive water exposure. **Topical corticosteroids or tacrolimus. **Sometimes intralesional corticosteroids and antifungal drugs. **For severe or refractory disease, surgery.
NEED'S.. HEMOGRAM.. BSR .. HBA1C.. X-RAY STUDY.. MEANWHILE TREAT SYMPTOMATICALLY..WITH.. BS..ANTIBIOTICS WITH..NSAIDS AS PER REQUIREMENT.. OINTMENT MUPIROCIN.. ANTIFUNGAL MEDICATIONS.. SURGEONS OPINION..
It may be a case of chronic fungal infection leading to chronic paronychia. It usually happens with those who are habituated in handling water or detergent . Avoid water handling Tab fluconazole 200 one tab twice in a week for 6-8 wks then one wkly for another 6-8 weeks Antifungal oint to apply locally Antibiotic if there there is sepsis with sub ungual infection Nail extraction may be needed
Paronechia is result of indwelling nail Fungal infection Onicomycosis Subungal infection Yes nail extraction and followed by treatment to cause
Look for ingrowing toe nail If present it may need nail removal Look for onycomycosis which can cause recurrent paronychia
Broad spectrum Antibiotics Wash with warm water and Dettol. Apply antifungal oint and muprocin oint at night Oral antifungal Finally surgical excision if indicated
Yes surgery required
I am agree with @Dr. Dineshchandra Sharma Sir, and@Dr. Kute Ankush Sir.
Paronychia. Antibiotics. Nsaid. I&D .
Yes.nail extraction.
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