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Acute Paronychia Apparently Caused by Candida albicans in a Healthy Female

Acute Paronychia Apparently Caused by Candida albicans in a Healthy Female Abstract To the Editor.— Paronychia is characterized by inflammation and swelling of the lateral and proximal nail fold. The sudden onset of redness, swelling, and pain with abscess or cellulitis formation in the nail fold is characteristic of acute paronychia. Chronic paronychia develops more slowly and presents with mild erythema and swelling of the nail folds. Acute paronychia is almost always bacterial in origin, unlike chronic paronychia, where Candida albicans can be cultured frequently (>70%).1 We present a case of an acute, suppurative abscess formation of the proximal nail fold apparently caused by C albicans. Report of a Case.— A 56-year-old healthy black female computer operator presented with a 2-week history of pain, erythema, and fluctuant swelling of the proximal nail fold of the index finger of her dominant hand. Following incision, a thick, white curdlike material was expressed from the nail fold (Fig 1). Gram's stain of the exudate References 1. Zaias N. The Nail in Health and Disease . 2nd ed. East Norwalk, Conn: Appleton & Lange; 1990. 2. Whittle CH, Moffatt JL, Davis RA. Paronychia or perionychia: aetiological aspects . Br J Dermatol. 1959;71:1-11.Crossref 3. Brook I. Aerobic and anaerobic microbiology of paronychia . Ann Emer Med. 1990;19:994-996.Crossref 4. Stone OJ, Mullins JF. Role of Candida albicans in chronic disease . Arch Dermatol. 1965;91:70-72.Crossref 5. Whittle CH, Gresham GA. Paronychia experimentally induced . J Invest Dermatol. 1963;40:267-269.Crossref 6. Ganor S, Pumpianski R. Chronic Candida albicans paronychia in adult Israeli women . Br J Dermatol. 1974;90:77-83.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Acute Paronychia Apparently Caused by Candida albicans in a Healthy Female

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References (6)

Publisher
American Medical Association
Copyright
Copyright © 1993 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1993.01680270130022
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— Paronychia is characterized by inflammation and swelling of the lateral and proximal nail fold. The sudden onset of redness, swelling, and pain with abscess or cellulitis formation in the nail fold is characteristic of acute paronychia. Chronic paronychia develops more slowly and presents with mild erythema and swelling of the nail folds. Acute paronychia is almost always bacterial in origin, unlike chronic paronychia, where Candida albicans can be cultured frequently (>70%).1 We present a case of an acute, suppurative abscess formation of the proximal nail fold apparently caused by C albicans. Report of a Case.— A 56-year-old healthy black female computer operator presented with a 2-week history of pain, erythema, and fluctuant swelling of the proximal nail fold of the index finger of her dominant hand. Following incision, a thick, white curdlike material was expressed from the nail fold (Fig 1). Gram's stain of the exudate References 1. Zaias N. The Nail in Health and Disease . 2nd ed. East Norwalk, Conn: Appleton & Lange; 1990. 2. Whittle CH, Moffatt JL, Davis RA. Paronychia or perionychia: aetiological aspects . Br J Dermatol. 1959;71:1-11.Crossref 3. Brook I. Aerobic and anaerobic microbiology of paronychia . Ann Emer Med. 1990;19:994-996.Crossref 4. Stone OJ, Mullins JF. Role of Candida albicans in chronic disease . Arch Dermatol. 1965;91:70-72.Crossref 5. Whittle CH, Gresham GA. Paronychia experimentally induced . J Invest Dermatol. 1963;40:267-269.Crossref 6. Ganor S, Pumpianski R. Chronic Candida albicans paronychia in adult Israeli women . Br J Dermatol. 1974;90:77-83.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Jun 1, 1993

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