Paronychia is a kind of infection that affects the nails. People who get this kind of infection are those who usually contact with water or handle food regularly as the food has the ability to accumulate yeast on hands. You can see swollen areas around the nails without cuticle on this kind of infection that leads to nail discoloration and commonly the cause of nail base removal. The paronychia is also termed as lateral onycholysis. Paronychia must be treated by the General surgeon Katy for chronic candida paronychia.
There are two types of paronychia, the acute paronychia and chronic paronychia. The causes of acute paronychia are nail biting, aggressive manicuring, and placement of artificial nails. The symptoms of acute paronychia are inflamed surface of around the nail, discoloration of the nail and sometimes pus is present. Acute paronychia can be treated with antibiotics or 3 to 4 times warm water soaks. Chronic paronychia is just similar with acute paronychia but chorinic paronychia is more difficult to treat. Some symptoms of chronic paronychia are also similar to the symptom of acute paronychia. Some symptoms of (CP) are inflammation of the proximal nail fold, usually associated with deformities of the surface of the nail and loss of the cuticle, and thickened nail plates with brown discoloration. Chronic paronychia commonly occurs to women that frequently contact their hands in the water. Because of the periungual skin features of the individual that have this kind of disorder usually gets candida, many have think that candida is the cause of the disorder. Some of the symptom indicates that chronic paronychia is a type of eczema and that candida isolates are nonpathogenic colonizing organisms. Chroni paronychia can be treated topical steroid and antifungal agent. Patients with CP must avoid having their hands on the water, having manicure, and avoid from irritating substances. They also needed to be treated by the general surgeon for chronic candida paronychia.
There is an Italian study about the treatment for patients with chronic paronychia. The researches studied the treatments for 45 patients with chronic paronychia withoral itraconazole, oral terbinafine, or topical methylprednisolone for 3 weeks. Patient's treated with oral medications received placebo cream, and those with topical methlprednisolone received placebo tablets. After 9 weeks, those treated with oral antifungal agents have improvement on the half of the nails than treated with topical corticosteroid treated on 85% of the nails. The 18 patient's accumulated candida, but its eradication doesn't associate with clinical improvement, which come up that there is continued presence of fungi in some patients. The study come up with the patients with chronic paronychia has improvement when treated with topical corticosteroid even candida is present. But it is advisable for the patient to contact general surgeon for chronic candida paronychia if the infection gets worse.
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