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Patient education: Paronychia (The Basics)

Patient education: Paronychia (The Basics)

What is paronychia? — Paronychia is a skin infection that happens around the fingernails or toenails (picture 1).

You are more likely to get to get this infection if you:

Push down or trim the skin at the base of the nail (called the "cuticle")

Bite your nails

Suck your thumb or finger

People who have jobs that make them keep their hands in water a lot are also more likely to get paronychia.

What are the symptoms of paronychia? — Symptoms include:

A painful, swollen area around the nail

Pus-filled blisters near the nail

Is there a test for paronychia? — No. There is no test. But your doctor or nurse should be able to tell if you have it by learning about your symptoms and doing an exam.

Is there anything I can do on my own to feel better? — Yes. Some people feel better if they:

Soak the affected finger or toe in warm water for 20 minutes, 3 times a day.

Put triple antibiotic ointment (sample brand names: Neosporin, Triple Antibiotic) on the infected area after soaking it.

How is paronychia treated? — If the treatments you have tried on your own don't help, your doctor might give you antibiotics to treat the infection.

If you have a pus-filled blister, they might give you a shot to numb your finger or toe and use a needle or sharp tool to open and drain the blister. You will need to soak your finger or toe and take antibiotics after this procedure.

Your doctor might also prescribe other medicines, such as steroids or anti-fungal medicines.

Can paronychia be prevented? — You can reduce your chances of getting paronychia if you:

Push your cuticles down gently and do not trim or cut them

Wear rubber gloves if you need to put your hands in water

More on this topic

Patient education: Fungal nail infections (The Basics)

This topic retrieved from UpToDate on: Jan 02, 2023.
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