Difference between revisions of "Paronychia"
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==Introduction== | ==Introduction== | ||
| − | 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. | + | 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. | ||
| + | |||
| + | '''Devon Rex''', Cornish Rex and Selkirk Rex cats are predisposed to developing ''Malassezia'' paronychia. | ||
| + | |||
| + | It is also commonly present in '''dogs'''. | ||
Diseases linked to the development of paronychia include: | Diseases linked to the development of paronychia include: | ||
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'''Neoplasia''': | '''Neoplasia''': | ||
| − | :subungual | + | :subungual squamous cell carcinoma |
| − | : | + | :melanoma |
:eccrine carcinoma | :eccrine carcinoma | ||
| − | : | + | :osteosarcoma |
:subungual keratoacanthoma | :subungual keratoacanthoma | ||
:inverted squamous papilloma | :inverted squamous papilloma | ||
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'''[[Diabetes Mellitus]]''' | '''[[Diabetes Mellitus]]''' | ||
| − | == | + | ==Clinical Signs== |
| − | ''' | + | 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. |
| − | Cytology of the exudate may reveal neutrophilic inflammation with acanthocytes, which can be present in large numbers in cases of | + | 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. | ||
'''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 | + | '''Radiographs''' can be performed to evaluate the phalanges for osteomyelitis or any neoplastic change. |
| − | '''Haematology, biochemistry''', | + | '''Haematology, biochemistry''', FIV and FeLV tests may be indicated is a systemic disease is suspected. |
==Treatment== | ==Treatment== | ||
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Revision as of 10:38, 2 September 2011
Introduction
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.
Devon Rex, Cornish Rex and Selkirk Rex cats are predisposed to developing Malassezia paronychia.
It is also commonly present in dogs.
Diseases linked to the development of paronychia include:
Infection:
Immune-mediated:
- Pemphigus
- Bullous Pemphigoid
- SLE
- Drug eruption
- Symmetrical lupoid onchodystrophy
- Atopy
Neoplasia:
- subungual squamous cell carcinoma
- melanoma
- eccrine carcinoma
- osteosarcoma
- subungual keratoacanthoma
- inverted squamous papilloma
Trauma
Nutritional deficiencies
Clinical Signs
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
A complete physical and dermatological examination is indicated.
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.
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.
Haematology, biochemistry, FIV and FeLV tests may be indicated is a systemic disease is suspected.
Treatment
The nail shell can be surgically removed.
Antimicrobial soaks or shampoos can be used locally.
Most importantly, the underlying condition should be identified and treated specifically.
| Paronychia Learning Resources | |
|---|---|
 Test your knowledge using flashcard type questions |
Small Animal Dermatology Q&A 09 |
References
Merck and Co (2008) Merck Veterinary Manual Merial
Helton Rhodes, K. (2011) Blackwell's Five minute veterinary consult: small animal dermatology Wiley-Blackwell