Paronychia - chronic

L03.0

• Description
• General Measures
• Medicine Treatment
• Referral

DESCRIPTION

• Chronic, red, swollen nailfold, lifted off the nail plate with whitish pus.
• Commonly caused by working in water and contact with household detergents.

GENERAL MEASURES

• Avoid hand contact with household detergents, washing powders and softeners.
• Patients to wear rubber gloves when washing clothes, linen and kitchen utensils in order to keeping hands clean and dry as far as possible, during day.

MEDICINE TREATMENT

• Corticosteroid, potent, topical, e.g.: (Doctor prescribed)
• Betametasone 0.1% topical, apply at night until lesions have cleared.
  • After washing hands, massage cream into the nailfold.

If secondary infection is present, indicated by pain and tenderness in the nail fold, treat with antibiotics. See Impetigo

LoEIII [10]

REFERRAL

No response to treatment.