Other clinical patterns found were proximal subungual onychomycosis 39 (15.7 Percent) followed by total dystrophic onychomycosis 30 (12.5 Percent), white superficial onychomycosis 27 (10.8 Percent) and chronic
paronychia 12 (4.8 Percent).
Among the cutaneous infections commonly associated with HIV, we found that the majority of the patients suffered from a spectrum of fungal infections {dermatophytosis (16.7%), onychomycosis (11.1%),
paronychia (5.6%), angular chelitis (2.8%)} similar to the study done by Vasudevan et al.
In a study of 44 people who presented with
paronychia lasting at least 6 weeks, Dr.
* BACKGROUND Although Candida is often isolated from nails afflicted with chronic
paronychia, the benefit of treating chronic
paronychia with antifungal agents has never been proved.
In a study of 44 people who presented to the university's dermatology clinic complaining of
paronychia lasting at least 6 weeks, Dr.
There was yellowish discolouration, sub ungual hyperkeratosis,
paronychia and, onycholysis bilaterally in both finger and toe nails.
* Chronic
paronychia. Topical steroid treatment was as effective as an antifungal in the treatment of chronic
paronychia, according to a study of 45 adults randomized to either methylprednisolone acetate, itraconazole, or terbinafine (J.
His darkened, hypertrophic nails without evidence of
paronychia indicate a fungal infection.
Pathogenic factors proposed for some cases have included chronic
paronychia, trauma, roentgenography, ultraviolet radiation, arsenic, and dyskeratosis congenita.[4] Human papillomavirus (HPV) has been implicated in the pathogenesis of some cases that did not have other known predispositions.
Discoloration was found in 25% cases followed by
paronychia in10% cases.
-- Contact irritants cause most cases of chronic
paronychia or onycholysis, with yeast infection playing an exacerbating rather than a causative role, two small retrospective studies suggested.
For example, anaerobes have been isolated in 53% of clenched first injuries in adults, [1] in 85% of human bites in children, [2] and in 73% of children with
paronychia. [3] In the majority of these studies, the anaerobes were mixed with aerobes, and the total number of isolates per infected wound ranged from one to five.