NDLI: Keloid formation on the great toe after chronic paronychia secondary to ingrown nail.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lee, Kang Woo Burm, Jin Sik Yang, Won Yong
Description	Author Affiliation: Lee KW ( Department of Plastic and Reconstructive Surgery, College of medicine, Kyung Hee University, Seoul, Korea.)
Abstract	Keloid is a clinically intractable fibro-proliferative disease that spreads beyond the original scar or lesion. Although several theories have attempted to explain the mechanism of keloid formation, the phenomenon still remains obscure. Our present study examines a rare case of keloid formation that occurred on the great toe after a repeated paronychia secondary to an ingrown nail. The 22-year-old female patient had a large keloid with chronic paronychia and a history of ingrown nails on her left great toe on both the lateral nail folds. We excised the keloids and made new lateral nail grooves without extracting the nail. The open wounds were conservatively managed with the help of moisturized dressings until the wounds were completely epithelialised. Adjuvant therapies with oral medication, intermittent intralesional injection and toe care were performed during the follow-up period. Histopathological analysis of the specimen revealed the presence of irregular, thick, glassy and dense collagen of keloid and inflammation of paronychia. During the 14-month follow-up period, adjuvant combination therapies successfully inhibited recurrence of keloid as well as paronychia and the normal appearance of the great toe was maintained. This study addresses a case of keloid formation on the great toe due to repeated recurrence of ingrown nails and consequent chronic paronychia. It is implied that if an ingrown nail is not controlled, it will result in the production of chronic inflammation and tension stress, which might trigger the formation of a secondary keloid.
File Format	HTM / HTML
ISSN	17424801
Issue Number	2
Volume Number	10
e-ISSN	1742481X
Journal	International Wound Journal
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2013-04-01
Publisher Place	Great Britain (UK)
Access Restriction	Subscribed
Subject Keyword	Discipline Traumatology Keloid Etiology Surgery Nails, Ingrown Complications Paronychia Therapy Wound Healing Chronic Disease Female Humans Prevention & Control Secondary Prevention Young Adult Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Surgery Dermatology

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