만성 손발톱주위염과 내향성 손발톱: 병리기전 및 치료 전략.
Purpose: Chronic paronychia and ingrown nails (onychocryptosis) are common nail disorders that cause pain, functional impairment, and reduced quality of life. They occur frequently in both dermatology and primary care settings. Effective management requires an understanding of the underlying mechani...
| Publicado en: | Journal of the Korean Medical Association / Taehan Uisa Hyophoe Chi Vol. 68; no. 11; pp. 743 - 752 |
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| Autor principal: | |
| Formato: | pictorial review tables/charts Journal Article |
| Publicado: |
Korean Medical Association
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190403952&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190403952 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19758456 B9M7 jtl: Journal of the Korean Medical Association / Taehan Uisa Hyophoe Chi issn: 19758456 maglogo: N pubinfo: dt: Nov2025 vid: 68 iid: 11 pid: 64891 pub: Korean Medical Association place: , <Blank> artinfo: ui: 190403952 190403952 190403952 10.5124/jkma.25.0112 190403952 ppf: 743 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: 만성 손발톱주위염과 내향성 손발톱: 병리기전 및 치료 전략. aug: au: Lee, Young Bok affil: Department of Dermatology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea sug: subj: Paronychia Etiology Paronychia Pathology Paronychia Prevention and Control Nails, Ingrown Etiology Nails, Ingrown Pathology Nails, Ingrown Prevention and Control Medical Practice, Evidence-Based Physicians Counseling Paronychia Symptoms Nails, Ingrown Symptoms Inflammation Prevention and Control Paronychia Drug Therapy Nails, Ingrown Drug Therapy Adrenal Cortex Hormones Therapeutic Use Antifungal Agents Therapeutic Use Patient Centered Care ab: Purpose: Chronic paronychia and ingrown nails (onychocryptosis) are common nail disorders that cause pain, functional impairment, and reduced quality of life. They occur frequently in both dermatology and primary care settings. Effective management requires an understanding of the underlying mechanisms and available treatment approaches. This review summarizes the etiopathogenesis, clinical features, and evidence-based management of chronic paronychia and ingrown nails, providing practical guidance for physicians. Current Concepts: Chronic paronychia is a multifactorial inflammation of the nail folds persisting for more than 6 weeks, typically initiated by disruption of the cuticle barrier. This disruption allows moisture, irritants, and microbes to penetrate the periungual area, resulting in chronic inflammation, fibrosis, and retraction. Candida species are often isolated but function predominantly as secondary colonizers. Environmental triggers such as frequent wet work, artificial nails, and anticancer therapies (including epidermal growth factor inhibitors and taxanes) can further compromise the periungual barrier. Ingrown nails arise from penetration of the nail plate into, or overgrowth of, hypertrophic folds. These changes are promoted by improper trimming, tight footwear, anatomical predisposition, systemic disease, or trauma. Discussion and Conclusion: Management primarily aims to remove triggers, control inflammation, and restore the periungual barrier. Early stages usually respond to conservative measures, including topical corticosteroids, calcineurin inhibitors, antifungal agents, footwear modification, nail splinting, and patient education. Severe or refractory cases may require surgical intervention, such as square flap excision for chronic paronychia or partial nail avulsion with phenol matricectomy and soft tissue resection for ingrown nails. Individualized therapy can improve outcomes, minimize recurrence, and enhance quality of life. pubtype: Academic Journal doctype: pictorial review tables/charts Journal Article ougenre: Article language: Korean refInfo: holdings: @attributes: islocal: N |
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