Welcome to the Podiatry Arena forums, for communication between foot health professionals about podiatry and related topics.
You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members (PM), upload content, view attachments, receive a weekly email update of new discussions, earn CPD points and access many other special features. Registered users do not get displayed the advertisments in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!
If you have any problems with the registration process or your account login, please contact contact us.
Case:
19year old female with no medical history and past IGTN's.
Bilateral PNA's performed on both hallucies which have resolved with no spikes or regrowth present. Patient presented 5 months post op with non painful swelling and redness from the proximal nail fold to the IPJ L>R. She has a possible mild fungal infection of her left toenail
I tried to drain the fluid, however there was no fluid just heavy bleeding from the sight.
It appears as chronic paranchia, however there is no pain or exudate. I have tried a mixture of elocon cream to the sulci and antifungal paints to the nail on the last visit, however feel this isn't the answer.
Has anyone seen this before and if so knows how to treat it? Web research has not helped me at all.
I have seen this a number of times, and the non-painful swelling and redness will eventually become painful. In each case, it was an inclusion cyst, as someone else mentioned.
Under local anaesthesia and a tourniquet, you can incise the area and remove the hard white fibrous unattached nodule you will find (like a pearl in an oyster), and the condition will resolve.
Case:
19year old female with no medical history and past IGTN's.
Bilateral PNA's performed on both hallucies which have resolved with no spikes or regrowth present. Patient presented 5 months post op with non painful swelling and redness from the proximal nail fold to the IPJ L>R. She has a possible mild fungal infection of her left toenail
I tried to drain the fluid, however there was no fluid just heavy bleeding from the sight.
It appears as chronic paranchia, however there is no pain or exudate. I have tried a mixture of elocon cream to the sulci and antifungal paints to the nail on the last visit, however feel this isn't the answer.
Has anyone seen this before and if so knows how to treat it? Web research has not helped me at all.
Regards,
The Caulfield Team
Hi Katie,
Did you get to the bottom of this case?
If not, in my experience (having done literally thousands of these procedures over nearly 30 years), another reason for this can be that the nail fragments or splits if during the original procedure the beaver is not inserted true to the cut line made by the nail splitter thus leaving a spur of nail that haemorrhages the tissue.
Under LA use a blacks file or currette to probe. It can be difficult to locate the spur due to the inflammation and swelling. When found, use tissue nippers to excise.
Regards,
Peter Norton
Body Clinic
Jl. Prapanca Raya No. 37
Kebayoran Baru, Jakarta Selatan
Indonesia
Tel: +62 21 72783827
Post PNA blues
Linear Mode
