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Skin and Bone: Chronic Paronychia Leading to Osteomyelitis
Jonathan de Vries1, Mimi Chung2, Boni E Elewski2
1Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
Skin Appendage Disorders
|June 6, 2025
Summary
Chronic paronychia, an infection around the nail fold, can progress to serious bone infections like osteomyelitis. Monitoring nail fold infections is crucial to prevent severe complications.
Area of Science:
- Dermatology
- Infectious Diseases
- Orthopedics
Background:
- Paronychia presents as acute or chronic infections of the nail fold.
- Acute paronychia is often bacterial, while chronic forms have diverse, potentially inflammatory causes.
Purpose of the Study:
- To report a case of chronic paronychia progressing to osteomyelitis.
- To highlight the importance of monitoring nail fold infections due to proximity to bone.
Main Methods:
- Case report presentation.
- Review of clinical presentation and diagnostic findings.
Main Results:
- A case of chronic paronychia evolving into digital osteomyelitis is described.
- The anatomical proximity of nail folds to phalanges is emphasized.
Conclusions:
- Chronic paronychia requires vigilant monitoring for potential progression to deeper infections.
- Early detection and management are vital to prevent severe outcomes such as osteomyelitis.
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