Apical subungual infection

Apical subungual infection

Infection of the tissues present between the nail plate and the periosteum of the terminal phalanx characterized by extreme pain and swelling is termed as apical subungal infection.

Causes and risk factors

The only cause is prick due to pin or presence of some splinter underneath the nail. It is rarely seen after subungal hematoma.

 

Clinical presentation:

Extreme pain and swelling is the characteristic feature. Tenderness is marked. Pus formation can be seen.

 

Investigations:

Diagnosis is done on the basis of the symptoms narrated by the patient and the examination carried out by the doctor. Usually no investigations are required.

 

Treatment:

In mild cases, conservative line of treatment is sufficient to allay the complaints. Antibiotics are prescribed. Once the pus formation occurs, it needs to be drained out. Drainage with ‘V’ incision is carried out under aseptic condition.

 

Other Modes of treatment:

Certain other modes of treatment can also be helpful in coping up with the symptoms. Taking into consideration the symptoms in a holistic way, homoeopathy can offer a good aid for the relief of the symptoms. The Ayurvedic system of medicine which uses herbs and synthetic derivates can also be beneficial in combating the complaints.

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