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Paronychia

MedGen UID:
45334
Concept ID:
C0030578
Disease or Syndrome; Finding
Synonym: Paronychias
SNOMED CT: Paronychia (71906005); Perionychia (71906005)
 
HPO: HP:0001818
Monarch Initiative: MONDO:0005898

Definition

The nail disease paronychia is an often-tender bacterial or fungal hand infection or foot infection where the nail and skin meet at the side or the base of a finger or toenail. The infection can start suddenly (acute paronychia) or gradually (chronic paronychia). [from HPO]

Conditions with this feature

Hereditary acrodermatitis enteropathica
MedGen UID:
66355
Concept ID:
C0221036
Disease or Syndrome
Acrodermatitis enteropathica of the zinc deficiency type (AEZ) is characterized by intermittent simultaneous occurrence of diarrhea and dermatitis with failure to thrive. Alopecia of the scalp, eyebrows, and eyelashes is a usual feature. The skin lesions are bullous. Noteworthy is the cure by diodoquin, or diiodohydroxyquinoline (Dillaha et al., 1953; Bloom and Sobel, 1955). Rodin and Goldman (1969) described autopsy findings, including pancreatic islet hyperplasia, absence of the thymus and of germinal centers, and plasmocytosis of lymph nodes and spleen.
Pelger-Huet-like anomaly and episodic fever with abdominal pain
MedGen UID:
376692
Concept ID:
C1850054
Disease or Syndrome
Immunodeficiency-108 with autoinflammation (IMD108) is an autosomal recessive disorder characterized mainly by features of autoinflammation, often manifest as onset of recurrent episodes of abdominal pain associated with fever and elevated inflammatory markers around adolescence. Affected individuals also have recurrent infections, particularly of the skin and nails; poor wound healing; and mild bleeding tendencies. Peripheral blood examination shows hypolobulated neutrophils, suggesting a defect in myeloid differentiation and function. However, neutrophil primary and secondary granules are normal (summary by Goos et al., 2019).
Neuropathy, hereditary sensory and autonomic, type 2A
MedGen UID:
416701
Concept ID:
C2752089
Disease or Syndrome
Hereditary sensory and autonomic neuropathy type II (HSAN2) is characterized by progressively reduced sensation to pain, temperature, and touch. Onset can be at birth and is often before puberty. The sensory deficit is predominantly distal with the lower limbs more severely affected than the upper limbs. Over time sensory function becomes severely reduced. Unnoticed injuries and neuropathic skin promote ulcerations and infections that result in spontaneous amputation of digits or the need for surgical amputation. Osteomyelitis is common. Painless fractures can complicate the disease. Autonomic disturbances are variable and can include hyperhidrosis, tonic pupils, and urinary incontinence in those with more advanced disease.
Inflammatory skin and bowel disease, neonatal, 1
MedGen UID:
482131
Concept ID:
C3280501
Disease or Syndrome
Any neonatal inflammatory skin and bowel disease in which the cause of the disease is a mutation in the ADAM17 gene.

Professional guidelines

PubMed

Baran R, Richert B
Hand Surg Rehabil 2024 Apr;43S:101653. doi: 10.1016/j.hansur.2024.101653. PMID: 38879229
Lee DK, Lipner SR
Ann Med 2022 Dec;54(1):694-712. doi: 10.1080/07853890.2022.2044511. PMID: 35238267Free PMC Article
Hay RJ
J Am Acad Dermatol 1999 Jun;40(6 Pt 2):S35-42. doi: 10.1016/s0190-9622(99)70396-8. PMID: 10367915

Recent clinical studies

Etiology

Au AS, Leung WY, Tran D
J Am Podiatr Med Assoc 2020 May 1;110(3) doi: 10.7547/17-155. PMID: 32730608
Styron JF
Hand Clin 2020 Aug;36(3):381-386. doi: 10.1016/j.hcl.2020.03.012. PMID: 32586465
Al-Qattan MM, Helmi AA
J Hand Surg Am 2014 Aug;39(8):1636-45. doi: 10.1016/j.jhsa.2014.04.003. PMID: 25070033
Lacouture ME, Anadkat MJ, Bensadoun RJ, Bryce J, Chan A, Epstein JB, Eaby-Sandy B, Murphy BA; MASCC Skin Toxicity Study Group
Support Care Cancer 2011 Aug;19(8):1079-95. Epub 2011 Jun 1 doi: 10.1007/s00520-011-1197-6. PMID: 21630130Free PMC Article
Whitehead SM, Eykyn SJ, Phillips I
Br J Surg 1981 Jun;68(6):420-2. doi: 10.1002/bjs.1800680619. PMID: 7237072

Diagnosis

Sechi A, Zengarini C, Piraccini BM, Alessandrini A, Bruni F, Patrizi A, Naldi L, Starace M
Dermatol Ther 2022 Feb;35(2):e15251. Epub 2021 Dec 23 doi: 10.1111/dth.15251. PMID: 34877747
Koshy JC, Bell B
J Hand Surg Am 2019 Jan;44(1):46-54. Epub 2018 Jul 14 doi: 10.1016/j.jhsa.2018.05.027. PMID: 30017648
Osterman M, Draeger R, Stern P
J Hand Surg Am 2014 Aug;39(8):1628-35; quiz 1635. doi: 10.1016/j.jhsa.2014.03.031. PMID: 25070032
Arduino PG, Porter SR
J Oral Pathol Med 2008 Feb;37(2):107-21. doi: 10.1111/j.1600-0714.2007.00586.x. PMID: 18197856
Mayeaux EJ Jr
Prim Care 2000 Jun;27(2):333-51. doi: 10.1016/s0095-4543(05)70199-8. PMID: 10815047

Therapy

Koshy JC, Bell B
J Hand Surg Am 2019 Jan;44(1):46-54. Epub 2018 Jul 14 doi: 10.1016/j.jhsa.2018.05.027. PMID: 30017648
Hsu WH, Yang JC, Mok TS, Loong HH
Ann Oncol 2018 Jan 1;29(suppl_1):i3-i9. doi: 10.1093/annonc/mdx702. PMID: 29462253
Lacouture ME, Anadkat MJ, Bensadoun RJ, Bryce J, Chan A, Epstein JB, Eaby-Sandy B, Murphy BA; MASCC Skin Toxicity Study Group
Support Care Cancer 2011 Aug;19(8):1079-95. Epub 2011 Jun 1 doi: 10.1007/s00520-011-1197-6. PMID: 21630130Free PMC Article
Arduino PG, Porter SR
J Oral Pathol Med 2008 Feb;37(2):107-21. doi: 10.1111/j.1600-0714.2007.00586.x. PMID: 18197856
Moran GJ, Talan DA
Emerg Med Clin North Am 1993 Aug;11(3):601-19. PMID: 8359133

Prognosis

Gurel MS, Tekin B, Uzun S
Clin Dermatol 2020 Mar-Apr;38(2):140-151. Epub 2019 Oct 24 doi: 10.1016/j.clindermatol.2019.10.008. PMID: 32513395
Company-Quiroga J, Alique-García S, Martínez-Sánchez D
Eur J Dermatol 2019 Apr 1;29(2):246-247. doi: 10.1684/ejd.2019.3568. PMID: 31106770
Hinshaw MA, Rubin A
Semin Cutan Med Surg 2015 Jun;34(2):109-16. doi: 10.12788/j.sder.2015.0132. PMID: 26176289
Tosti A, André M, Murrell DF
Dermatol Clin 2011 Jul;29(3):511-3, xi. Epub 2011 May 6 doi: 10.1016/j.det.2011.03.006. PMID: 21605819
Nicolopoulos J, Howard A
Australas J Dermatol 2002 Nov;43(4):293-6. doi: 10.1046/j.1440-0960.2002.00616.x. PMID: 12423438

Clinical prediction guides

Piotrowska Z, Tan DS, Smit EF, Spira AI, Soo RA, Nguyen D, Lee VH, Yang JC, Velcheti V, Wrangle JM, Socinski MA, Koczywas M, Janik JE, Jones J, Yu HA
J Clin Oncol 2023 Sep 10;41(26):4218-4225. Epub 2023 Jun 29 doi: 10.1200/JCO.23.00152. PMID: 37384848
Gross AM, Wolters PL, Dombi E, Baldwin A, Whitcomb P, Fisher MJ, Weiss B, Kim A, Bornhorst M, Shah AC, Martin S, Roderick MC, Pichard DC, Carbonell A, Paul SM, Therrien J, Kapustina O, Heisey K, Clapp DW, Zhang C, Peer CJ, Figg WD, Smith M, Glod J, Blakeley JO, Steinberg SM, Venzon DJ, Doyle LA, Widemann BC
N Engl J Med 2020 Apr 9;382(15):1430-1442. Epub 2020 Mar 18 doi: 10.1056/NEJMoa1912735. PMID: 32187457Free PMC Article
Ehmann LM, Ruzicka T, Wollenberg A
Skin Therapy Lett 2011 Jan;16(1):1-3. PMID: 21293833
Allevato MA
Clin Dermatol 2010 Mar 4;28(2):164-77. doi: 10.1016/j.clindermatol.2009.12.001. PMID: 20347659
Hartmann JT, Haap M, Kopp HG, Lipp HP
Curr Drug Metab 2009 Jun;10(5):470-81. doi: 10.2174/138920009788897975. PMID: 19689244

Recent systematic reviews

Ng CX, Lau Xer Min N, Choi EC, Long V, Chandran NS
Int J Dermatol 2024 Oct;63(10):1308-1317. Epub 2024 Jun 17 doi: 10.1111/ijd.17257. PMID: 38887088
Iorizzo M, Pasch MC
Hand Surg Rehabil 2024 Apr;43S:101502. Epub 2022 Nov 24 doi: 10.1016/j.hansur.2022.11.006. PMID: 36427761
Liu T, Jiang S, Teng X, Zhong L, Liu M, Jin Y, Dong M
Immunopharmacol Immunotoxicol 2023 Feb;45(1):1-9. Epub 2022 Aug 18 doi: 10.1080/08923973.2022.2112222. PMID: 35950851
Sechi A, Zengarini C, Piraccini BM, Alessandrini A, Bruni F, Patrizi A, Naldi L, Starace M
Dermatol Ther 2022 Feb;35(2):e15251. Epub 2021 Dec 23 doi: 10.1111/dth.15251. PMID: 34877747
Litaiem N, Drissi H, Zeglaoui F, Khachemoune A
Arch Dermatol Res 2019 Sep;311(7):505-512. Epub 2019 May 10 doi: 10.1007/s00403-019-01925-w. PMID: 31076847

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