What causes painful swelling in my nail fold?

Question

Hi doctor,

I have painful swelling in the lateral nail fold of the right finger in my right hand. Previously, I had chronic paronychia in the index finger of the right hand. For that, I used Onabet cream twice a day for three weeks and Loceryl nail lacquer once a week for six months. I cannot take oral antifungals due to allergic reactions so my doctor advised me to use Nadoxin cream twice a day on the nail fold of the ring finger along with Augmentin 625 mg for five days. I followed my doctor's advice but there was no improvement and my symptoms got aggravated.

Kindly help me.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I have gone through your query and understand your concern.

Chronic paronychia is a resistant disease and you have taken all the treatments necessary to solve this issue. In this case, treatment depends on the incriminating factors of the disease. Most of the time, it occurs due to irritants and repeated washing and increases your fungal growth. Sometimes drugs can lead to this condition. Some diseases like psoriasis (a skin condition causing raised, inflamed, and scaly patches), pemphigus (an autoimmune disease causing blistering on the skin), and cancers occurring on other sites of the body too cause it.

Please mention whether you have any of the above-mentioned causes and so treatment can be advised according to it. According to your history, you have allergic reactions to antifungals and antibiotics. Kindly follow this treatment for four weeks and see for improvement. In some cases, medical treatment is not successful and some surgical treatment helps in removing nail folds.

You can use Tacrolimus ointment 0.1% at night. Use Hydrocortisone cream in the morning for four weeks. You can take tablet Cefuroxime clavulanate 500 mg twice daily for five days. Avoid having coldness in your body and hands. Cover your hands with gloves to avoid having contact with exposed allergens. Have a review after four weeks.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.