Overview
Paronychia of the toe, often associated with onychocryptosis (ingrown toenail), involves inflammation and infection around the nail fold, potentially extending to deeper tissues. 12Diagnosis
Presence of localized pain, redness, swelling around the nail.
Possible purulent drainage.
Physical examination to assess nail plate penetration into the skin.
No specific diagnostic tests mentioned; clinical judgment is key. 12Management
First-line treatments:
- Conservative taping methods, though kinesiology tape may improve adherence 1.
- Use of shape-memory alloy devices for easy application and removal without pain 2.
Adjunctive treatments:
- Warm soaks in antiseptic solutions (not specified in abstracts).
- Oral antibiotics if infection is severe (specific drugs not mentioned). 12Special Populations
Pediatrics: No specific recommendations provided.
Elderly: No specific recommendations provided.
Comorbidities: No specific considerations mentioned for patients with comorbidities. 12Key Recommendations
Consider kinesiology tape for improved adherence in conservative taping treatments for onychocryptosis [Evidence: Expert opinion]. 1
Explore the use of Cu-Al-Mn-based shape-memory alloy devices as an effective, cost-efficient alternative for managing ingrown toenails [Evidence: Moderate]. 2
Prioritize conservative methods initially; surgical intervention may be necessary for refractory cases, though specifics are not detailed in provided abstracts [Evidence: Expert opinion].References
1 Geizhals S, Lipner SR. Clinical pearl: kinesiology tape for onychocryptosis. Cutis 2019. link
2 Ishibashi M, Tabata N, Suetake T, Omori T, Sutou Y, Kainuma R et al.. A simple method to treat an ingrowing toenail with a shape-memory alloy device. The Journal of dermatological treatment 2008. link