Definition: Inflammation of the skin around a finger or toenail.


. Acute: Rapid onset, usually bacterial (Staphylococcus aureus).

. Chronic: Persists >6 weeks, often fungal.


Symptoms: Pain, redness, swelling around the nail fold.



Minor Infection:

Topical fusidic acid.

Severe Infection:

Oral flucloxacillin or oral clarithromycin.

Abscess Present:

Surgical drainage followed by packing with gauze.

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