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    Paronychia

    Paronychia is a topic covered in the 5-Minute Emergency Consult.

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    Basics

    Description

    • Disruption of the seal between the nail plate and the nail fold may allow entry of bacteria into the eponychial space.
    • Inflammation of the nail folds surrounding the nail plate

    Etiology

    • Acute paronychia: Predominantly Staphylococcus aureus but also streptococci, Pseudomonas, and anaerobes
    • Chronic paronychia: Multifactorial due to allergens and irritants in addition to fungal etiologies, predominantly Candida albicans, which commonly coexist with Staphylococcus species

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    Citation

    Rosen, Peter, et al., editors. "Paronychia." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307491/all/Paronychia.
    Paronychia. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307491/all/Paronychia. Accessed April 26, 2019.
    Paronychia. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307491/all/Paronychia
    Paronychia [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 April 26]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307491/all/Paronychia.
    * Article titles in AMA citation format should be in sentence-case
    TY - ELEC T1 - Paronychia ID - 307491 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307491/all/Paronychia PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -