75 Chronic Paronychia

Chronic Paronychia

Chronic paronychia is an inflammatory disorder of the nail folds of a toe or finger presenting as redness, tenderness, and swelling

Chronic paronychia was considered a form of fungal infection affecting the nail folds with anti-fungals being the mainstay of treatment.

Surgical management like eponychial marsupialization and en bloc excision of nail fold was done in recalcitrant cases without nail plate removal.

Chronic paronychia
A case of paronychia with rounding off of peronychium and thick, discoloured nails


  1. Relhan V, Goel K, Bansal S, Garg VK. Management of chronic paronychia. Indian J Dermatol. 2014 Jan;59(1):15-20. doi: 10.4103/0019-5154.123482. PMID: 24470654; PMCID: PMC3884921.
  2. Rockwell, Pamela. (2001). Acute and chronic paronychia. American family physician. 63. 1113-6. https://www.aafp.org/pubs/afp/issues/2001/0315/p1113.html