Paronychia

Acute paronychia

The prognosis is excellent, particularly with patient education (to avoid barrier dysfunction) and with specific antibiotic prescription.

Chronic paronychia

The prognosis depends on patient education and adherence to protective and preventative measures. Most patients are at high risk of recurrent disease (from occupational risks, nail cosmetic use, nail fold or cuticle manipulation). Discuss the concepts of normal nail barrier, barrier dysfunction, the activities that predispose them to chronic paronychia, and the importance of moisture/contactant avoidance in the treatment of the condition, as well as maintenance of a normal nail barrier.