Daniel et al reported a simple grading system for chronic paronychia. The authors are from Jackson, Mississippi, and Bologna, Italy.
Criteria for simple chronic paronychia:
(1) inflammation > 6 weeks
(2) involvement of >= 1 of the 3 nail folds (2 lateral, procimal)
Parameters:
(1) inflammation of nail folds
(2) cuticle
(3) symptoms
(4) nail plate damage
(5) acute on chronic paronychia
|
Nail Folds
|
Cuticle
|
Symptoms
|
Nail Plate Damage
|
Acute
|
Stage
|
|
redness and swelling
|
damage
|
none
|
no
|
no
|
I
|
|
redness and swelling
|
disruption of seal
|
none or minimal
|
no
|
no
|
II
|
|
involves proximal nail fold
|
none (destroyed)
|
some discomfort
|
some
|
no
|
III
|
|
involves proximal nail fold
|
none
|
tender and painful
|
extensive
|
no
|
IV
|
|
involves proximal nail fold
|
none
|
tender and painful
|
extensive
|
yes
|
V
|
