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Chronic paronychia and onycholysis: a thirteen-year experience
C R Daniel1, M P Daniel, C M Daniel
1University of Mississippi Medical Center, Jackson, USA.
Cutis
|December 1, 1996
Summary
Chronic paronychia and onycholysis are often linked to irritant exposure and fungal infections. Effective treatment requires avoiding irritants and using broad-spectrum antifungals targeting yeasts.
Area of Science:
- Dermatology
- Mycology
Background:
- Chronic paronychia and onycholysis are common nail conditions.
- Identifying causative factors is crucial for effective management.
Purpose of the Study:
- To investigate factors contributing to chronic paronychia and onycholysis.
- To evaluate the role of yeast and irritant exposure in these nail disorders.
Main Methods:
- Retrospective analysis of 137 patients' data from 1982-1995.
- Clinical evaluation and fungal culture of nail specimens.
Main Results:
- Yeast was frequently isolated from cultured nail samples.
- Significant exposure to contact irritants was commonly identified in patients.
- A high prevalence of both fungal presence and irritant exposure was observed.
Conclusions:
- Resolution of chronic paronychia and onycholysis necessitates avoiding contact irritants.
- Appropriate treatment of underlying fungal infections, particularly yeasts, is essential.
- Broad-spectrum antifungal agents effective against yeasts are recommended for treatment.