{"id":660,"date":"2025-07-06T14:05:28","date_gmt":"2025-07-06T14:05:28","guid":{"rendered":"https:\/\/podcare.gr\/?post_type=pathology&p=660"},"modified":"2026-04-19T12:31:30","modified_gmt":"2026-04-19T12:31:30","slug":"paronychie","status":"publish","type":"pathology","link":"https:\/\/podcare.gr\/fr\/pathology\/paronychie\/","title":{"rendered":"Paronychie"},"content":{"rendered":"\n
\n

La paronychie est une inflammation de la peau autour de l\u2019ongle. Elle peut appara\u00eetre soudainement (paronychie aigu\u00eb<\/strong>) ou \u00eatre prolong\u00e9e et r\u00e9cidivante (paronychie chronique<\/strong>). Elle est g\u00e9n\u00e9ralement caus\u00e9e par des bact\u00e9ries, des champignons ou une irritation de la peau. Si elle n\u2019est pas prise en charge rapidement, elle peut entra\u00eener une infection et la formation d\u2019un abc\u00e8s.<\/p>\n\n\n\n

Causes et facteurs de risque<\/h2>\n\n\n\n

\u2013 Traumatisme ou microtraumatismes r\u00e9p\u00e9t\u00e9s de la peau autour de l\u2019ongle.
\u2013 Mauvais soin des ongles, comme une coupe excessive des cuticules ou le fait de manipuler la zone avec des objets pointus.
\u2013 Exposition fr\u00e9quente \u00e0 l\u2019humidit\u00e9 (par exemple chez les serveurs, les infirmiers ou infirmi\u00e8res et les agents d\u2019entretien).
\u2013 Maladies cutan\u00e9es, telles que l\u2019ecz\u00e9ma ou le psoriasis, qui rendent la peau plus fragile.
\u2013 Infections fongiques chroniques, qui peuvent fragiliser la peau autour de l\u2019ongle.
\u2013 L\u2019habitude de tirer ou de gratter les ongles ou les envies, ce qui augmente le risque de p\u00e9n\u00e9tration des bact\u00e9ries.<\/p>\n\n\n\n

Sympt\u00f4mes<\/h2>\n\n\n\n

Paronychie aigu\u00eb<\/h3>\n\n\n\n

\u2013 Rougeur soudaine, gonflement et douleur autour de l\u2019ongle.
\u2013 Pr\u00e9sence de pus au niveau de la zone enflamm\u00e9e.
\u2013 Sensation de chaleur et sensibilit\u00e9 dans la r\u00e9gion touch\u00e9e.<\/p>\n\n\n\n

Paronychie chronique<\/h3>\n\n\n\n

\u2013 Irritation r\u00e9currente et l\u00e9ger gonflement pendant une longue p\u00e9riode.
\u2013 Humidit\u00e9 persistante et d\u00e9coloration de la peau autour de l\u2019ongle.
\u2013 D\u00e9collement, \u00e9paississement ou d\u00e9formation de l\u2019ongle, surtout en cas d\u2019infection fongique associ\u00e9e ou lorsque la croissance de l\u2019ongle a \u00e9t\u00e9 perturb\u00e9e par l\u2019inflammation.<\/p>\n\n\n\n

Prise en charge et traitement<\/h2>\n\n\n\n

1. Soins \u00e0 domicile (pour les cas l\u00e9gers)<\/h3>\n\n\n\n

\u2013 Bain de pieds \u00e0 l\u2019eau ti\u00e8de, avec du sel et de la B\u00e9tadine, 2 \u00e0 3 fois par jour afin de r\u00e9duire l\u2019inflammation.
\u2013 Pommade antibiotique.
\u2013 Protection avec une compresse st\u00e9rile en cas de plaie ouverte ou d\u2019\u00e9coulement.
\u2013 \u00c9viter l\u2019humidit\u00e9 : garder la zone propre et s\u00e8che.<\/p>\n\n\n\n

2. Traitement m\u00e9dicamenteux (pour les cas plus s\u00e9v\u00e8res)<\/h3>\n\n\n\n

\u2013 Antibiotiques par voie orale en cas d\u2019infection importante avec pr\u00e9sence de pus.
\u2013 Traitement antifongique en cas de paronychie fongique chronique.
\u2013 Cr\u00e8mes \u00e0 base de cortico\u00efdes si l\u2019inflammation est li\u00e9e \u00e0 une affection cutan\u00e9e.<\/p>\n\n\n\n

3. Intervention par un professionnel de sant\u00e9 (dans les cas s\u00e9v\u00e8res ou r\u00e9cidivants)<\/h3>\n\n\n\n

\u2013 Ponction ou drainage du pus.
\u2013 Ablation partielle de l\u2019ongle si la paronychie persiste et provoque un probl\u00e8me chronique.<\/p>\n\n\n\n

Pr\u00e9vention<\/h2>\n\n\n\n

\u2013 Soins appropri\u00e9s des ongles : couper les ongles droit et \u00e9viter de les couper trop pr\u00e8s de la peau.
\u2013 \u00c9viter d\u2019arracher les envies.
\u2013 Bonne hygi\u00e8ne des pieds : changer fr\u00e9quemment de chaussettes, laver les pieds quotidiennement et bien les s\u00e9cher apr\u00e8s la douche.
\u2013 Porter des chaussures adapt\u00e9es, en pr\u00eatant attention \u00e0 la pointure et \u00e0 la qualit\u00e9.<\/p>\n\n\n\n

Quand consulter un podologue<\/h2>\n\n\n\n

\u2013 Si la paronychie ne s\u2019am\u00e9liore pas apr\u00e8s quelques jours ou si elle devient chronique.
\u2013 En cas de douleur intense, de gonflement ou de pus.
\u2013 Si l\u2019infection s\u2019\u00e9tend ou si vous souffrez de probl\u00e8mes de sant\u00e9 sous-jacents, comme le diab\u00e8te.
\u2013 Si vous souhaitez rechercher les causes afin de r\u00e9duire le risque de r\u00e9cidive.
\u2013 Si vous remarquez des changements de couleur ou d\u2019\u00e9paisseur de l\u2019ongle.<\/p>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"

La paronychie est une inflammation de la peau autour de l\u2019ongle. Elle peut appara\u00eetre soudainement (paronychie aigu\u00eb) ou \u00eatre prolong\u00e9e et r\u00e9cidivante (paronychie chronique).<\/p>\n","protected":false},"featured_media":875,"parent":0,"menu_order":22,"template":"","meta":{"_acf_changed":false},"category":[43],"class_list":["post-660","pathology","type-pathology","status-publish","has-post-thumbnail","hentry","pathology_category-pathiseis-nychion-2"],"acf":[],"yoast_head":"\nParonychie - podcare<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Paronychie - podcare\" \/>\n<meta property=\"og:description\" content=\"La paronychie est une inflammation de la peau autour de l\u2019ongle. 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