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Retronychia
Published in Nilton Di Chiacchio, Antonella Tosti, Therapies for Nail Disorders, 2020
Thomas Knackstedt, Nathaniel J. Jellinek
Early in the disease course, the patient may present simply with a paronychia, with marked swelling and inflammation of the proximal nail fold (Figure 20.4). Palpably, the proximal nail fold feels hard (representing the multiple nail plate layers) and demonstrates tenderness. At this earliest stage, the nail plate has not penetrated the proximal nail fold's ventral surface but is applying pressure. As the inflammation and foreign-body reaction progresses, the nail unit demonstrates more typical features of ingrown nail (however, localized primarily to the proximal nail fold): granulation tissue; secondary infection; and increased pain, tenderness, and drainage.
Ingrown nail
Published in Archana Singal, Shekhar Neema, Piyush Kumar, Nail Disorders, 2019
Azzam Alkhalifah, Bertrand Richert
Ingrown nail is a nail impinged in the surrounding soft tissues. The most controversial question is: which, from the plate and the soft tissues, is the origin of the problem? Should we work on the nail or on the periungual tissues? There is no universal answer. In some cases, the nail is problematic, while in others the cause is the hypertrophic surrounding tissue, and sometimes it can be both. Best management is a case-by-case analysis followed by an adapted treatment.
Treatment of nail diseases in the emergency department
Published in Journal of Dermatological Treatment, 2022
Mike Fritz, Suraj Muddasani, Alan B. Fleischer
There were 790 (95% confidence interval [716, 863]) thousand ED visits for nail complaints from 2009–2018, composing 0.05% [0.03%, 0.09%] of all ED visits in this time frame (Figure 1). This resulted in an estimated 25 per 10,000 Americans that presented to the ED with a nail complaint. The most common complaint was ‘ingrown nail’ (399 thousand visits). There were 831 thousand visits which received a nail diagnosis in the ED from 2009-2018, composing 0.06% of all ED visits in this time frame. This resulted in an estimated 26 per 10,000 Americans that presented to the ED and received a nail diagnosis per year. The most common diagnosis was ‘paronychia of the finger’ (493 thousand visits), followed by ‘paronychia of the toe’ (157 thousand visits). Only 3% of all nail visits were documented to have a consulting non-emergency-department physician contribute to the care of the patient.
Mixed lesion of traumatic pseudoaneurysm and pyogenic granuloma on a digit
Published in Case Reports in Plastic Surgery and Hand Surgery, 2023
Toshifumi Yamashiro, Yusuke Hachisu, Ryuichi Azuma
A 28-year-old man with no pre-existing medical conditions was referred to our hospital for treatment of an erythematous nodular lesion on the lateral nail fold of the right middle finger. He had received blunt trauma to his right middle finger two months prior to the visit and had been suffering from a painful and easily hemorrhagic erythematous nodule on the lateral nail fold of the right middle finger since then. He was previously diagnosed with PG caused by an ingrown nail and was treated with oral and topical antibacterial agents. However, this did not result in an improvement in the condition and he was referred to our clinic because of a gradual increase in size.
The ambulatory care burden of nail conditions in the United States
Published in Journal of Dermatological Treatment, 2021
Shari R. Lipner, Julie E. Hancock, Alan B. Fleischer
There were 21.1 (95% confidence interval: 19.5, 22.8) million ambulatory outpatient visits for nail complaints from 2007 to 2016. Based on US population estimates, 68 per 10,000 Americans presented to a physician with nail complaints per year (4). The most common complaint was ‘ingrown nail’ (3.01 [2.23–3.78] million visits) and the most common diagnosis was dermatophytosis (10.1 [8.74–11.4] million visits).