Periodontitis
Introduction
Introduction 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. 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.
Cause
Cause
Cause:
Slight local damage to the nail causes a purulent infection of the tissue around the nail, which is caused by damage during nail trimming, trauma, and poor local hygiene.
pathology:
Peri-inflammation is mainly caused by the incursion of nails caused by trimming nails.
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.
In addition to manicured nails, there are other factors that cause periarthritis:
For example, the hollowness caused by the gray nail rot causes the periarthritis; the front tip of the shoe is too narrow, so that the nail is squeezed to cause periarthritis.
Examine
an examination
Related inspection
Fungal examination fungal culture inspection skin fungal microscopy
First manifested as local redness and heat pain. Generally no systemic symptoms. The infection then spreads around the nails and under the nails.
1. The finger, the side of the toenail or the proximal side of the bilateral sulcus is red, swollen, painful, followed by pus, and granulation tissue can be seen after pus.
2. When the infection spreads to the nail bed, local empyema can cause the whole finger and toenail to float and fall off.
Diagnosis
Differential diagnosis
This symptom should be differentiated from the following symptoms:
Paronychia: is an infection of the nail groove or its surrounding tissues. Mostly caused by tiny stab wounds, contusions, barbed (reverse stripping) or excessive nail cutting, the pathogens are mostly Staphylococcus aureus.
Periarthritis: purulent infection of the tissue around the nail, beginning on the side of the nail or the root of the nail is red and swollen, severe pain, and then gradually purulent, when the accumulation of under a nail, it forms a sub-abscess, often caused by poor drainage after rupture Chronic inflammation.
