Autologous "foreign body" as a sequel of improper cutting of an ingrowing toe nail?
We report on a 63-year-old male who suffered from an ingrown toenail affecting the left first digit for several years. Medical history revealed that repeated vigorous nail plate trimming by the patient relieve the red, painful swelling of his great toe. Furthermore, Emmert onychoplasty as well as non-invasive procedures did not achieve improvement. A thorough surgical exploration of the affected area detected a nail spicule in the deeper paronychium. This was likely caused by improper cutting of the nail plate. Removal of the fragment in combination with partial nail plate excision, followed by phenol cauterization of the matrix resulted in full recovery.
Jessberger
Berthold
B
Ring
Johannnes
J
Möhrenschlager
Matthias
M
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002444:Cefuroxime / Q000627:therapeutic use; D005547:Foreign Bodies / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009263:Nails, Ingrown / Q000150:complications* / Q000601:surgery / Q000628:therapy; D010000:Osteitis / Q000188:drug therapy / Q000209:etiology; D010304:Paronychia / Q000188:drug therapy / Q000209:etiology; D019800:Phenol / Q000627:therapeutic use; D012008:Recurrence; D012597:Sclerosing Solutions / Q000627:therapeutic use; D012648:Self Care; D013207:Staphylococcal Skin Infections / Q000188:drug therapy / Q000209:etiology; D014034:Toes
D000900:Anti-Bacterial Agents; D012597:Sclerosing Solutions; D019800:Phenol; D002444:Cefuroxime