Chronic Mycotic-Associated Surgical Nail Pathology Complicated With Ingrown Nail (Nail Incarnation): The Analyses of Clinical Cases and Complex Treatment

Abstract

Background. Conservative treatment of secondary recurrent unguis incarnatus are not very effective and

Врослий Ніготь, Оптимальна Клініко-Морфологічна Класифікація: Авторські Погляди (Моя Модифікація) І Дискусійні Аспекти

“…The most common form, the distal lateral ingrowing, will be discussed. Similar classifications were also recommended by Larin (1977), Heifetz and Missouri (1945), Meleshevitch (1985) [6,14,15], Vergun (2003) [13], Nadashkevitch and Vergun (2015) [8]. In the adolescent type, three stages of ingrown nail are differentiated [6,8,9,13]: stage one: inflammation, swelling, and pain; stage two: inflammation, pain, non-healing wound and granulation tissue, stage three: plus abscess formation and chronic induration of the lateral nail fold.…”

“…Operations for the pathological incarnation of the nail plate in the eponychium account for a significant percentage of surgical interventions are performed in the outpatient surgical departments [14][15][16]; their results are not always good; according to various clinic, relapse "ingrowth" is observed in 3-35 % of cases [1,14,16]. Frequent case of nail lesions is ingrown nail (IN), i.e., onychocryptosis (incarnation of the nail) and destructive onychomycosis, which occurs in more than half of all calls of onychial pathology [1,3,14].…”

“…Frequent case of nail lesions is ingrown nail (IN), i.e., onychocryptosis (incarnation of the nail) and destructive onychomycosis, which occurs in more than half of all calls of onychial pathology [1,3,14]. The disease is characterized by chronic pathological compression of the nail plate edge of the eponychium [1,3,6] and the development of chronic purulent inflammation in it, often with the necrosis and hypergranulation [3,7,16] development.…”

“…Often, the symptoms of eponycheal abscess develop, areas of colliquatedment necrosis and eponycheal granulomas are formed [3,4,5,10,16]. The disease is characterized by chronic pathological compression of the edge of the nail plate of the eponychium and the development of chronic purulent inflammation in it, often with the formation of necrosis and hypergranulation [14,16]. In patients with obliterating arterial diseases of the lower extremities, it is often possible to detect a combined lesion: pathological growth of the mycotic affected nail plate [1,3,8,10].…”

“…In patients with obliterating arterial diseases of the lower extremities, it is often possible to detect a combined lesion: pathological growth of the mycotic affected nail plate [1,3,8,10]. In the previous studies we have established that IN is not only the pathology of the nail plate, but also of eponycheal tissues, the growth zone and the matrix; and clinically and morphologically manifesting is the actual changes in the eponychium [10, 13,14].…”