陥入爪に伴う爪囲肉芽の悪化要因について

・陥入爪に伴う爪囲肉芽の悪化要因とその対処について症例を呈示し考察した．

・爪囲肉芽の悪化要因は症例によって多様であるが，1）物理刺激，2）過剰な湿潤環境，3）感染が大きく影響している．

・上記1）から3）に対処することによって職歴，運動をはじめとした生活環境，全身疾患の既往等それ以外の悪化要因の検討が容易になると考えた．

（「症例のポイント」より）

　

Exacerbating factors of periungual granulation associated with ingrown nail

　

Sato, Ryusuke1）Miura, Shinpei2）Amano, Hiroo2） 1）Sato Dermatology Office 2）Department of Dermatology, Iwate Medical University, School of Medicine

　

Periungual granulation associated with ingrown nail is a common condition, but sometimes it is difficult to cure. Here we present two such cases affecting the first toe of a 24-year-old male and a 14-year-old male, which were treated by minimizing factors that might exacerbate the condition, i.e. i)physical insertion, ii)excessive moisture, and iii)bacterial infection. This approach led to almost full cure of the granulations, allowing us to consider other exacerbating factors.