Drs: Fingernail Inflammation + Chronic Paronychia & Bartender Rot

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The Doctors: Chronic Fingernail Inflammation

The Doctors heard from Desiree, a mother of two kids and a bartender of ten years. She shared that her hands are constantly wet and she’s always washing her hands, dipping them into sanitary buckets and cleaning them every time she makes a drink, which takes a toll on her hands. Her cuticles are inflamed, so if anything hits them she experiences excruciating pain and she has foul-smelling pus that comes out of the cuticle. Her nails are uneven and crack easily. She’s tried anti-fungal creams, steroids, and Epsom salts, but nothing works for her.

Drs: Fingernail Inflammation + Chronic Paronychia & Bartender Rot

The Doctors talked to a woman who has been experiencing inflamed fingernails and explained why her job is to blame for Chronic Paronychia and Bartender Rot. (Corepics VOF / Shutterstock.com)

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She saw Dr Sandra Lee, who said she saw an inflammation around the finger in what is called the proximal nail fold. She said it’s irritating the matrix which is where the cells are produced for you nail, which is why her nails are coming out  looking a little funny. Dr Lee explained that the moisture gets caught under the nail, which is the perfect environment for yeast. She wanted to minimize the moisture that is staying there.

The Drs TV: Chronic Paronychia & Bartender Rot

Dr Lee said Desiree has what is called Chronic Paronychia, which is an inflammation of the proximal nail fold. She said with all the wet work, she’s getting yeast caught under there. She said there’s a specific name that comes with Desiree’s profession and it’s called Bartender Rot. She said the most important thing is to avoid wet work as much as you can, which is obviously hard for Desiree.

Dr Lee said people who wash their hands constantly or are dishwashers may also see this condition. Keeping you hands as dry as possible is necessary, and wearing rubber gloves can actually make things worse because of the sweat. She suggested finding and wearing cotton-lined rubber gloves that wick the moisture away. She also suggested using alcohol to evaporate some of the water, as well as nail polish remover or rubbing alcohol.

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She gave Desiree topical yeast medicines to help with her condition and provided her with a list of prescriptions she could take, and did it all for free.

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