Peeling skin on the toes?
I would like to ask about my left big toe.
The toenail has been ingrown for about two weeks, and currently, there is some pus drainage.
The surrounding skin is starting to peel, and there is a slight darkening compared to my right foot.
The wound where the nail has penetrated the skin has not healed.
Should I seek medical attention immediately?
SS, 10~19 year old female. Ask Date: 2011/10/08
Dr. Yang Zhiya reply Dermatology
Based on the symptoms described by the patient, there may be a bacterial infection.
It is recommended to seek medical attention as soon as possible.
Reply Date: 2011/10/08
More Info
When dealing with peeling skin and painful toenail issues, especially in the context you've described, it is crucial to seek medical attention promptly. The symptoms you are experiencing—painful ingrown toenail, pus discharge, surrounding skin peeling, and discoloration—indicate a potential infection or other serious condition that requires professional evaluation.
An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, leading to pain, swelling, and sometimes infection. The fact that you have noticed pus suggests that there may be an infection present, which can complicate the situation if left untreated. The surrounding skin peeling and the darkening of the area could indicate further irritation or a more severe infection, possibly even a fungal infection or necrosis, depending on the severity and duration of the symptoms.
Infections can escalate quickly, especially in the lower extremities, where blood flow may be less robust compared to other areas of the body. If you have any underlying health conditions, such as diabetes or peripheral vascular disease, the risks associated with untreated infections increase significantly. These conditions can impair healing and increase the likelihood of complications, including cellulitis (a deeper skin infection), abscess formation, or even systemic infection (sepsis) in severe cases.
Here are some steps you should consider:
1. Seek Immediate Medical Attention: Given the symptoms you've described, it is advisable to see a healthcare provider as soon as possible. A doctor, preferably a dermatologist or a podiatrist, can assess the situation accurately and determine the best course of treatment.
2. Avoid Self-Treatment: While it may be tempting to try home remedies or over-the-counter treatments, it is essential to avoid manipulating the area further, as this could exacerbate the infection or lead to additional complications.
3. Keep the Area Clean: Until you can see a doctor, keep the affected area clean and dry. Avoid soaking your foot in water, as this can worsen the condition if there is an infection.
4. Monitor Symptoms: Pay attention to any changes in your symptoms, such as increased redness, swelling, or fever. If you notice these signs, it may indicate that the infection is worsening, and you should seek care immediately.
5. Discuss Treatment Options: Upon visiting a healthcare provider, they may recommend treatments such as antibiotics if an infection is confirmed, or they may need to perform a minor surgical procedure to remove the ingrown portion of the nail and drain any pus.
In summary, your symptoms warrant immediate medical evaluation. Ignoring them could lead to more severe complications, and timely intervention can help prevent further issues and promote healing. Remember, it is always better to err on the side of caution when it comes to health concerns, especially those involving potential infections.
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