Atis et al reported a severity index for chronic paronychia. This can be used for initial evaluation and for monitoring therapeutic response. The authors are from University of Health Sciences in Istanbul and Tunceli State Hospital in Turkey.
Patient selection: chronic paronychia
Parameters evaluated for each affected nail:
(1) nail fold involvement
(2) edema
(3) erythema
(4) nail plate changes
(5) cuticle
Parameter
Finding
Points
nail fold involvement
1 nail fold
1
2 nail folds
2
bilateral lateral and proximal (3 nail folds)
3
edema
absent
0
mild
1
moderate
2
severe
3
erythema
absent
0
mild
1
moderate
2
severe
3
nail plate changes
absent
0
mild
1
moderate
2
severe
3
cuticle
normal
0
damaged
1
absent
2
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 1
• maximum score: 14
• The higher the score the more severe the paronychia.
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