One of the problems in the management of monilial paronychia is that of keeping water and various foreign material, such as food particles, from getting under the unattached nail fold. For the past several years, this problem has been solved by the use of nail polish sealer* to seal this space. This acts somewhat as an artificial cuticle.
The patient is instructed to apply the sealer upon arising in the morning, with care to include the nail and nail fold. The sealer is left on until bedtime, when it is removed with acetone. A medication consisting of 2% resorcinol, 2% salicylic acid in 70% alcohol, is then applied under the nail fold with a toothpick without cotton. I feel certain that other medications of personal choice could be used. Most patients find this method much easier to follow that the use of rubber gloves or finger cots, as the
GARRARD HF. USE OF NAIL POLISH SEALER IN TREATMENT OF MONILIAL PARONYCHIA. AMA Arch Derm. 1955;72(4):347. doi:10.1001/archderm.1955.03730340045008
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