Changes

==Introduction==

==Introduction==

Paronychia refers to '''inflammation of the soft tissue around the claw'''.

Paronychia refers to '''inflammation of the soft tissue around the claw'''. It can be caused by a variety of diseases, and these diseases can lead to other claw lesions.

 

It can be caused by a variety of diseases, and these diseases can lead to other claw lesions.

 

 

It is also commonly present in '''dogs'''.

Diseases linked to the development of paronychia include:

Diseases linked to the development of paronychia include:

'''Neoplasia''':

'''Neoplasia''':

:subungual squamous cell carcinoma

:subungual [[Squamous Cell Carcinoma|squamous cell carcinoma]]

:melanoma

:[[melanoma]]

:eccrine carcinoma

:eccrine carcinoma

:osteosarcoma

:[[osteosarcoma]]

:subungual keratoacanthoma

:subungual keratoacanthoma

:inverted squamous papilloma

:inverted squamous papilloma

'''[[Diabetes Mellitus]]'''

'''[[Diabetes Mellitus]]'''

==Clinical Signs==

==Signalment==

Animals will '''lick''' at their feet and claws.

'''Devon Rex''', Cornish Rex and Selkirk Rex cats are predisposed to developing ''Malassezia'' paronychia.

There might be '''lameness and pain''', with swelling and erythema of the claw or ungual fold.

It is also commonly present in '''dogs'''.

There may be deformity of '''sloughing of the claw''', or it may have an abnormal colour.

Animals will '''lick''' at their feet and claws. There might be '''lameness and pain''', with swelling and erythema of the claw or ungual fold. There may be deformity of '''sloughing of the claw''', or it may have an abnormal colour.

==Diagnosis==

==Diagnosis==

A complete physical and dermatological examination is indicated.

A complete physical and dermatological examination is indicated. Tests might include: '''skin scrapings, fungal culture, Wood's lamp examination and cytology'''.

 

Tests might include: '''skin scrapings, fungal culture, Wood's lamp examination and cytology'''.

Cytology of the exudate may reveal neutrophilic inflammation with acanthocytes, which can be present in large numbers in cases of Pemphigus Foliaceus, or in smaller numbers in cases of deep pyoderma due to different types of infection.

Cytology of the exudate may reveal neutrophilic inflammation with acanthocytes, which can be present in large numbers in cases of [[Pemphigus Foliaceus]], or in smaller numbers in cases of deep pyoderma due to different types of infection.

'''Bacterial culture and sensitivity''' may be indicated and a skin biopsy may be necessary for definitive diagnosis.

'''Bacterial culture and sensitivity''' may be indicated and a skin biopsy may be necessary for definitive diagnosis.

'''Radiographs''' can be performed to evaluate the phalanges for osteomyelitis or any neoplastic change.

'''Radiographs''' can be performed to evaluate the phalanges for [[osteomyelitis]] or any neoplastic change.

'''Haematology, biochemistry''', FIV and FeLV tests may be indicated is a systemic disease is suspected.

'''Haematology, biochemistry''', [[FIV]] and [[FeLV]] tests may be indicated if a systemic disease is suspected.

==Treatment==

==Treatment==

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[[Category:To Do - Helen]]

 

[[Category:To Do - Review]]

[[Category:Dermatological Diseases - Cat]][[Category:Dermatological Diseases - Dog]]

[[Category:Expert Review - Small Animal]]