Pyoinflammatory diseases of fingers and feet

The analysis of the current state of purulent-inflammatory diseases of the fi gers and toes. The main causes of this pathology are considered. It is shown that there are several classifi ations of purulent diseases of the fi gers and toes. The basis of all classifi ations is the clinical and anatomical principle, that is, the anatomical localization of the main purulent-inflammatory process and its external manifestations. The characteristic of the main clinical signs of purulent-inflammatory diseases of the fi gers and toes is given, as well as modern prophylaxis and treatment methods are analyzed. So, the subungual panaritium and paronychia usually develop during contamination with the most common pathogens of purulent infection, sometimes in association with mycotic fl ra. The addition of additional etiopathogenetic factors against the background of comorbid conditions contributes to the formation of deformations, incarnations (ingrowths) and polyetiological lesions. Mycotic-associated pathology with the destruction of nails and subungual structures, which may be complicated by osteomyelitis, requires the use of surgical resections or onyctomy. In the presence of destructive onychomycosis, in parallel with the use of combined antimycotic therapy, in most cases, the removal of the changed nail and the rehabilitation of pathological layering of the nail bed are indicated.