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Paronychia

WHAT YOU SHOULD KNOW

A paronychia (PAIR-uh-NIK-ee-uh) is an infection of the skin around a fingernail or toenail. With treatment, the disease will be gone in 2 weeks to 6 months. However, these infections sometimes return.

Causes

The infection can be caused by either bacteria or a fungus. A bacterial paronychia may follow an injury, such as a torn hangnail. A fungal paronychia results from growth of fungus or yeast.

Signs/Symptoms

Signs of a bacterial paronychia include pain, tenderness, redness, swelling, warmth, and itching of the skin around the nail. Some of the skin may be pus-filled. A fungal paronychia is also accompanied by swelling and redness around the fingernail, but does not produce warmth, pain, pus, or itching.

Care

If there is pus around the nail, you may need an antibiotic to treat the infection. If the infection is severe, your doctor may need to make a cut in the area to let it drain.

WHAT YOU SHOULD DO

  • If your doctor prescribes an antibiotic, take it exactly as directed. For pain or fever, you may use over-the-counter medicines such as acetaminophen or ibuprofen.
  • Soak the nail in warm water for 10 to 20 minutes, 5 or 6 times a day, for several days.
  • If the nail has been bandaged, keep the bandage dry until it is changed for the first time. Then start soaking the nail before applying each new bandage.
  • To decrease swelling, elevate your hand or foot on a pillow whenever possible.
  • To prevent further infections, protect your hands. Wear gloves when your hands are in water, when you are using irritating chemicals, or when you might injure your fingertips.
  • Leave hangnails alone. Carefully trim your nails, but avoid cutting them too short.

Call Your Doctor If...

  • You develop a high temperature.
  • The pain gets worse.
  • The swelling increases--especially if it affects the whole tip of the finger or toe.
  • You notice red streaks coming from the infected area.

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