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%0 Journal Article
%A Sarifakioglu, E.
%A Yilmaz, A. E.
%A Gorpelioglu, C.
%D 2008
%T Nail alterations in 250 infant patients: a clinical study
%J J Eur Acad Dermatol Venereol%8 Feb 25
%! Nail alterations in 250 infant patients: a clinical study
%M 18312325
%X Aims To investigate the frequency and the nature of nail alterations in infants. Study design A total of 250 infant patients from newborn to 2 years of age were evaluated from the outpatient clinics of paediatrics and
dermatology departments, Fatih University Hospital. The nail alterations were documented. The data were presented as percentages, and for categorical comparisons, Chi-squared or Fisher's Exact test were used. P < 0.05 was
considered statistically significant. Results Of the 250 infant patients, nail alterations were seen in only 17 (6.8%). Most of the patients had toe nail involvement. In 12 of 17 (70.6%) infants, there was one type of
nail alteration; in 4 of 17 (23.5%) infants, there was two type of nail alterations; and in 1 of 17 (5.9%) infants, there was three type of nail alterations. The most frequent diagnosis was onychoschizia in 6 of 17 (2.4%)
and and congenital hypertrophy of the lateral nail fold together with ingrown nail in 6 (2.4%) infants. Conclusion Because nail alterations could be a manifestation of systemic or dermatologic diseases in infants, fingernail
and and toenail examination should be a part of the paediatric dermatology examination.
%Z 1468-3083 (Electronic)Journal article
%+ Department of Dermatology, Fatih University, Faculty of Medicine, Ankara, Turkey.

%0 Journal Article%A Rigopoulos, D.
%A Larios, G.%A Gregoriou, S.
%A Alevizos, A.
%D 2008%T2008
%T Acute and chronic paronychia%Jparonychia
%J Am Fam Physician%VPhysician
77%N%V 3%P 77
%N 3
%P 339-46%8 Feb 1%1
%! Acute and chronic paronychia%Mparonychia
18297959%K%M 18297959
%K Acute DiseaseAntiDisease
Anti-Bacterial Agents/therapeutic useAntifungaluse
Antifungal Agents/therapeutic useAntiviraluse
Antiviral Agents/therapeutic useChronicuse
DiseaseDermatologicChronic Disease
Dermatologic Agents/*therapeutic useDiagnosisuse
Diagnosis, DifferentialHumansNailDifferential
HumansNail Diseases/diagnosis/therapyParonychiatherapy
Paronychia/*diagnosis/drug therapy/etiology/surgery/*therapyPrognosisRisktherapy
FactorsSkinPrognosisRisk Factors
Skin Neoplasms/diagnosis/therapy%Xtherapy
%X Paronychia is an inflammation of the folds of tissue surrounding the nail of a toe or finger. Paronychia may be classified as either acute or chronic. The main factor associated with the development of acute paronychia
is direct or indirect trauma to the cuticle or nail fold. This enables pathogens to inoculate the nail, resulting in infection. Treatment options for acute paronychia include warm compresses; topical antibiotics, with or
without corticosteroids; oral antibiotics; or surgical incision and drainage for more severe cases. Chronic paronychia is a multifactorial inflammatory reaction of the proximal nail fold to irritants and allergens.
The patient should avoid exposure to contact irritants; treatment of underlying inflammation and infection is recommended, using a combination of a broad-spectrum topical antifungal agent and a corticosteroid.
Application of emollient lotions may be beneficial. Topical steroid creams are more effective than systemic antifungals in the treatment of chronic paronychia. In recalcitrant chronic paronychia, en bloc excision of the
proximal nail fold is an option. Alternatively, an eponychial marsupialization, with or without nail removal, may be performed.
%Z 0002-838X (Print)Journal ArticleReview%UArticleReview
%+ Department of Dermatology, University of Athens Medical School, Andreas Sygros Hospital, Athens, Greece.