I have an itchy bump around the nail of one of my toes, the second one. It has happened in the past years, usually when the season gets warmer. It started about a month ago and grew into a quite itchy, sensitive and swollen area. It is now turning to purple. I tried antifungals before, but it was hard to know whether they made a difference. Please help.
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I have read your concern and examine your pictures (attachment removed to protect patient identity).
1. Gram staining and culture.
2. Potassium hydroxide (KOH) 5% smears.
1. Acute paronychia without obvious abscess can be treated nonsurgically like in your case.
2. I suggest tablet Augmentin 625 mg thrice daily (combination of Amoxicillin and Clavulanic acid) for 5 days and 1% Clotrimazole plus Fusidic acid cream twice daily for one week.
Consult your specialist doctor, discuss with him or her and take the medicine with consent.
Cut the nail from the side as it grows from the side and cause recurrent problem. Also, do not use tight foot wear.Regarding follow up:
Revert back after a week to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist
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