{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T10:56:31Z","timestamp":1791284191737,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T00:00:00Z","timestamp":1673395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Chronic paronychia is an inflammatory process of the nail folds lasting more than 6 weeks. Clinically, there is hypertrophy and retraction of the folds and absence of the cuticle. Treatment involves clinical measures and, when there is no response or the hypertrophy of the folds is very pronounced, surgical treatment is indicated. Post\u2010surgical histopathology is little studied in the literature. In this sense, we believe that the histopathological study is important not only for the individualized understanding of the patient's chronic disease, avoiding relapses, but also for the understanding of its pathophysiology and treatment possibilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the histopathological changes found in biopsies of the proximal nail fold of patients with chronic paronychia undergoing surgical treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>A histopathological study of 16 nail folds from 6 patients after surgery was performed at 2 study centers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The most prevalent epidermal findings were orthokeratosis, hypergranulosis, acanthosis and spongiosis and the dermal findings were fibrosis and mononuclear inflammatory infiltrate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The histopathological study allowed us to conclude that chronic paronychia is primarily an inflammatory process, but it is not possible to conclude whether microorganisms such as Candida and bacterial cocci are part of the etiology or just secondary and opportunistic agents.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijd.16564","type":"journal-article","created":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T03:51:15Z","timestamp":1673495475000},"page":"514-517","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Histopathological analysis of chronic paronychia"],"prefix":"10.1111","volume":"62","author":[{"given":"Bruna P.","family":"Rocha","sequence":"first","affiliation":[{"name":"Prof. Rubem David Azulay, Nail Studies Center Dermatology Institute  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo","family":"Verardino","sequence":"additional","affiliation":[{"name":"National Institute of Cancer, INCA  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreia","family":"Leverone","sequence":"additional","affiliation":[{"name":"Prof. Rubem David Azulay, Nail Studies Center Dermatology Institute  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiza F. V.","family":"D'Almeida","sequence":"additional","affiliation":[{"name":"Prof. Rubem David Azulay, Nail Studies Center Dermatology Institute  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitoria","family":"Azulay","sequence":"additional","affiliation":[{"name":"Prof. Rubem David Azulay, Nail Studies Center Dermatology Institute  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eckart","family":"Haneke","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Inselspital University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robertha C.","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Prof. Rubem David Azulay, Nail Studies Center Dermatology Institute  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,11]]},"reference":[{"issue":"3","key":"e_1_2_5_2_1","first-page":"339","article-title":"Acute and chronic paronychia","volume":"77","author":"Rigopoulos D","year":"2008","journal-title":"Am Fam Physician"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1963.63710010028022b"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-22-03-165"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2015.09.003"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.1970.tb02204.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2002.122191"},{"issue":"3","key":"e_1_2_5_8_1","first-page":"219","article-title":"Long\u2010term follow\u2010up of patients who underwent surgery for chronic paronychia","volume":"4","author":"Lavor Queiroz NP","year":"2012","journal-title":"Surg Cosmet Dermatol"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/0378-6323.158635"},{"issue":"3","key":"e_1_2_5_10_1","first-page":"393","article-title":"En bloc excision of proximal nail fold for treatment of chronic paronychia","volume":"32","author":"Grover C","year":"2006","journal-title":"Dermatol Surg"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5154.123482"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.1981.tb00609.x"},{"issue":"6","key":"e_1_2_5_13_1","first-page":"1113","article-title":"Acute and chronic paronychia","volume":"63","author":"Rockwell PG","year":"2001","journal-title":"Am Fam Physician"},{"key":"e_1_2_5_14_1","first-page":"389","volume-title":"Doen\u00e7as da Unha","author":"Nakamura R","year":"2018"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2016.02.1154"},{"key":"e_1_2_5_16_1","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1201\/9781315184005","volume-title":"Histopathology of the Nail: Onychopathology","author":"Haneke E","year":"2017"}],"container-title":["International Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijd.16564","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ijd.16564","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ijd.16564","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T00:04:22Z","timestamp":1692662662000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ijd.16564"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,11]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1111\/ijd.16564"],"URL":"https:\/\/doi.org\/10.1111\/ijd.16564","archive":["Portico"],"relation":{},"ISSN":["0011-9059","1365-4632"],"issn-type":[{"value":"0011-9059","type":"print"},{"value":"1365-4632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,11]]},"assertion":[{"value":"2022-10-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}