Hi, can anyone help?
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I have carried out numerous PNAs with phenolisation of the nail matrix and I have never come across something like this. Recently I had a patient who developed what I believed to be a reaction to the phenol and this had the effect of rotting the nail. There was hypergranulation present and the reaction spread from the corner of the PNA site and gradually worked its way across the nail bed. See attached photograph. The only way I could resolve the problem was to remove the entire nail and allow it to grow back, which it did quite normally. Has anyone else encountered this problem?
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