Rockwell P G
University of Michigan Medical School, Ann Arbor, USA.
Am Fam Physician. 2001 Mar 15;63(6):1113-6.
Paronychia is one of the most common infections of the hand. Clinically, paronychia presents as an acute or a chronic condition. It is a localized, superficial infection or abscess of the paronychial tissues of the hands or, less commonly, the feet. Any disruption of the seal between the proximal nail fold and the nail plate can cause acute infections of the eponychial space by providing a portal of entry for bacteria. Treatment options for acute paronychias include warm-water soaks, oral antibiotic therapy and surgical drainage. In cases of chronic paronychia, it is important that the patient avoid possible irritants. Treatment options include the use of topical antifungal agents and steroids, and surgical intervention. Patients with chronic paronychias that are unresponsive to therapy should be checked for unusual causes, such as malignancy.
甲沟炎是手部最常见的感染之一。临床上，甲沟炎表现为急性或慢性病症。它是手部甲沟组织的局部浅表感染或脓肿，较少见的是足部感染。近端甲襞与甲板之间的密封遭到任何破坏，都可能通过为细菌提供入口而导致甲上皮间隙的急性感染。急性甲沟炎的治疗选择包括温水浸泡、口服抗生素治疗和手术引流。对于慢性甲沟炎患者，避免可能的刺激物很重要。治疗选择包括使用外用抗真菌剂和类固醇，以及手术干预。对治疗无反应的慢性甲沟炎患者应检查是否存在异常病因，如恶性肿瘤。
