Coiling, defined as paronychia in medical language, is the infection of the epidermis around the nail tissue in the fingers or toes. This condition, which occurs with the infection of the nail area and the lateral nail bed, can sometimes spread to the upper nail bed or the nail bottoms defined as eponychium. It is mostly seen after minor trauma such as nail pulling, biting nails, or cuticles. It starts with a rash and painful stiffness. Finger tangle, which occurs as a result of infection and also known as finger inflammation, can cause the person to feel very serious pain and pain. Paronychia, which is characterized by symptoms such as skin color, nail color and shape change, nail lift, is mostly treated with medication and, when necessary, surgical methods. Frequently asked by patients, “How does the winding go? Before answering the question “What is a winding?” it must be understood well.
What is entanglement?
The entanglement disease, which reduces the quality of life of the person, is an inflammatory disease that generally occurs as a result of bacterial growth in the finger knuckles. In some cases, entanglement, which can spread to the nail base and lower parts, is called paronychia in medical language. Although bacterial infections are usually caused by entanglement, viral and fungal diseases can also cause paronychia in some cases. Abscess formation causes pain and soreness. However, in cases that are noticed before an abscess occurs, the use of appropriate antibiotics prescribed by the physician, applying heat to the area, and keeping the finger above the heart level is sufficient for treatment. In cases of entanglement that are noticed after the abscess is formed, the drainage of the abscess should be done. In some cases, the abscess may burst on its own. In such cases, the area should be washed thoroughly with warm water and soap and then cleaned with an antiseptic solution. Otherwise, the infection may spread under the nail and cause the infection area to increase.
What are the symptoms of entanglement?
Although it is not life-threatening, entanglement, which can significantly reduce a person’s quality of life, manifests itself with many symptoms. These symptoms are usually seen in the thumb and index finger, where entanglement is most common. Finger tenderness, redness, swelling, itching, and throbbing pain are among the most common symptoms of tangling. There may be differences in the shape, color, and texture of the nail, and the nail may be slightly separated from the nail bed. In addition, as a result of the spread of the infection, the finger may appear tense and shiny, excessive sweating, tremors, tenderness in muscles and bones, weakness, and fatigue.
What are the types of wrapping?
There are three different types of entanglement, acute, chronic, and herpetic. The treatment of the disease is applied according to the type of the disease. Therefore, it is extremely important to understand well which type of entanglement exists in a person.
- Acute Winding: Acute entanglement, also known as acute paronychia, is rarely caused by some fungi and viruses, but the most common cause is staphylococcus aureus bacteria. Nail biting, finger sucking, and playing with nail edges are common causes of acute entanglement. Especially in children, acute entanglement is caused by oral flora or, in other words, mouth secretion develops rapidly around the nail. Acute paronychia usually begins with pain, swelling, and a feeling of tightness in a single nail. If left untreated, an abscess forms and can accumulate in the nail bed. The early recognition of acute entanglement is very effective in the short duration of the treatment. When it is noticed in the early period, the use of a compress made with warm water several times a day and the use of appropriate antibiotic cream provides rapid recovery of the engorgement. However, if there is an abscess development, it may need to be evacuated. In this case, the abscess is drained by cutting the skin surface under local anesthesia.
- Chronic Wounding: Although the development of abscess is less common than acute entanglement, it is very common for the tissue around the nail to be swollen, red and tense in chronic entanglement. Symptoms increase in times of attack, in humid environments, and when in contact with water. If left untreated, the shape and color of the nails deteriorate over time. The nail thickens, its color darkens, and transverse lines appear on the nail surface. Chronic entanglement, usually seen in people who come into contact with alkaline chemicals for a long time, is also common in people with weak immune systems. In addition to systemic antibiotics, chronic paronychia tissue can be removed by surgical intervention.
- Herpetic Wrap: Herpes simplex virus (HSV) type 1 and type 2 strains are caused by herpetic tangle, a rare skin disease seen in childhood. The virus entering through the wound or crack on the skin surface causes herpetic entanglement. In the disease, in which the fingers and rarely the toes are affected frequently, there is pain, itching, and rough skin appearance in the tips of the fingers. In the future, swelling and redness may increase. Antiviral drugs are generally used in their treatment. Since the risk of contagion is very high, skin contact with herpetic entanglement patients should be avoided and protective measures should be taken. People with weak immune systems and especially children mustn’t come into contact with these patients.
Who gets wandering?
Acute, chronic, and herpetic entanglement can be seen in different people and occupational groups. Acute entanglement is rarely caused by fungi and viruses. Usually, bacteria such as staphylococcus aureus cause acute entanglement. Acute paronychia is most common in people with:
- Those who have finger sucking habits
- People who eat their nails and flesh
- Those who have experienced a traumatic event affecting the finger and nail
- Those who have a manicure and pedicure
- Those who use fake nails
- Those whose fingers are in a plaster cast for a long time
Chronic entanglement, which lasts much longer and recurs than acute entanglement, is a condition similar to an occupational disease. It is frequently seen in those who work in an environment with excessive bacteria that cause chronic entanglement:
- Construction workers
- Those who are in constant contact with cleaning materials and chemicals
Herpetic coiling is the type of paronychia seen in children and adolescents. Herpes simplex virus (HSV), whose only host is human, causes type 1 and type 2 entanglement. The virus that proliferates by entering through the wound or cracks on the skin surface may cause erythema or, in other words, itchy rash. Contagiousness of herpetic entanglement, which causes pain and swelling, is quite high, as in other types of entanglement. It is commonly seen in:
- Health personnel
- Children and adolescents
- Entanglement treatment
It is extremely important to determine the cause of the disease to treat the wound appropriately. If the entanglement is caused by a fungal, virus, or bacterial infection, the type of treatment is different. Therefore, a specialist physician should be consulted as soon as the winding is noticed. However, the use of warm cotton compresses and appropriate antibiotics at the initial stage of almost every type of wrapping provides the healing of the wrap without increasing symptoms and complaints. Another method used for entanglement treatment is to keep the finger above the heart level. This slows the blood flow to the area, reduces swelling in the area, and speeds up healing. Immobilization of the related finger is a similar method. Among the factors that accelerate the healing process of the disease are to use the antibiotics prescribed by the physician, to quit smoking and alcohol consumption during the treatment. In some cases, surgical intervention may also be required. In this method, the surgeon drains the abscess in the finger under local anesthesia.
If you also suspect that you have a coursing disease, do not neglect to apply to the nearest health institution and be examined.
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