Periodontitis
Introduction
Introduction to Jia Zhouyan Periarthritis, also known as paraplegia, is a suppurative infection of the tissue around the nail caused by local minor injury. It begins to be red and swollen on one side of the nail or severely painful. It gradually becomes purulent and accumulates under the armpit. After rupture, chronic inflammation is often caused by poor drainage. A week of inflammation is caused by the incursion of nails caused by trimming nails. First manifested as local redness and heat pain. Generally no systemic symptoms. The infection then spreads around the nails and under the nails. Early treatment of peri-inflammation is the key to the entire treatment. Before the local inflammation is not diffused, or when the toe (finger) is treated, the treatment can be shortened. Properly trim the nails during treatment to avoid damage. In case of suspicious injury, it should be treated in time, appropriate activities should be reduced, soft socks and shoes should be worn to improve the treatment effect and shorten the treatment time. basic knowledge The proportion of illness: 0.003% Susceptible people: no special people Mode of infection: non-infectious Complications: onychomycosis, onychomycosis
Cause
Cause of peri-inflammatory disease
Excessive nail trimming (30%):
If the trimming is excessive, especially the parts of the nail connected to the skin tissue are over-trimmed, even trimmed to the bleeding, and the edges of the nails supporting the corneal tissue on both sides are repaired too much, and it is not easy to heal, if not care, especially It is easy to inflame, causing both physical and mental pain to the patient. Therefore, the general public is reminded to pay special attention to proper trimming when trimming nails, especially fingernails and big toenails: that is, not to trim too short, absolutely not to hurt the parts of the nail that are connected to the skin tissue, as long as they are kept regularly. Moderate trimming can be done.
Infection (20%):
A week inflammation is mainly caused by paronychia. Paronychia is often caused by stab wounds, abrasions, ingrowns, or pulls of "pricked thorns" in the sulcus and its adjacent tissues, causing sub-abscesses, often caused by the spread of paronychia or a stab wound. The crush is caused by a subcutaneous hematoma secondary infection, and the pathogen is mainly Staphylococcus aureus.
Prevention
Periarthritis prevention
Every year from September to October is the high incidence of peri-inflammatory. The number of cases from September to October is close to about half of the year. In general, patients are in the middle and late stage of peri-inflammation. The survey found that most patients think that peri-inflammation is not a serious illness and will be cured without seeing a doctor. So miss the best treatment period. On the other hand, the nails are properly trimmed during the treatment to avoid damage. In case of suspicious injury, it should be treated in time, appropriate activities should be reduced, soft socks and shoes should be worn to improve the treatment effect and shorten the treatment time.
Complication
Periarthritis complications Complications, nail fungus, onychomycosis
May be complicated by onychomycosis, onychomycosis and so on.
Symptom
Symptoms of periungual inflammation Common symptoms Heat pain around the fingernails and fingertips (toe)...
First manifested as local redness and heat pain. Generally no systemic symptoms. The infection then spreads around the nails and under the nails.
Examine
Examination of periungitis
The secretions were taken with a swab for bacteriological and mycological examination, and a patch test was performed if necessary.
The patch test is an auxiliary diagnostic method for determining the body's allergic reaction. According to the nature of the test substance, prepare an appropriate concentration of the infusion solution, solution, ointment or directly use the original as a reagent, soak the test solution with 4 layers of 1 cm2 gauze, or place the test object on the gauze, and place the forearm flexion side. Covered with slightly larger transparent cellophane, surrounded by adhesive plaster, removed after 48 hours, can induce local skin reaction, and the results were judged according to local skin performance at 72 hours.
Diagnosis
Diagnosis of periungitis
diagnosis
Diagnosis can be based on clinical manifestations. First manifested as local redness and heat pain. Generally no systemic symptoms. The infection then spreads around the nails and under the nails.
Differential diagnosis
It is differentiated from paronychia and nail fungus.
Paronychia: more than due to stab wounds, abrasions, ingrown toenails, or pull-outs of punctures, causing subarachnoid abscesses, often caused by the spread of paronychia or a subarachnoid infection or fingertips The crushing injury causes a secondary hematoma to be infected, and the pathogenic bacteria are mainly Staphylococcus aureus.
Onychomycosis: Hyperthyroidism, commonly known as "nail nails", refers to diseases caused by Pichia bacteria invading the deck or under the arm. Onychomycosis is an infection caused by fungi such as dermatophytes, yeasts, and non-sclerotium.
