Are there any particular considerations to be made when treating a neutropaenic patient who has painful onychocryptosis?
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I am aware that the major issue for neutropaenic patients is avoiding wounds, and the associated risk of infection. Neutropaenia may mask the normal signs of sepsis, and prophylactic broad spectrum antibiotics are commonly used.
It appears that neutropaenia alone should not affect the rate of healing, so long as infection is managed appropriately, and appropriate wound care is carried out.
In a neutropaenic patient I would be reluctant to carry out radical sharp debridement of a neuropathic wound, but would be interested in people's opinions around resecting onychocryptosis.
My experience and reasoning would lead me to remove the offending piece of nail if I was confident of doing so without causing further injury.
Any comments would be appreciated.
Damian Gough
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Shoe toe box shape and plantar pressures
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Subcalcaneal bursitis with plantar fasciitis treated by arthroscopy
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Shoe toe box shape and plantar pressures
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Subcalcaneal bursitis with plantar fasciitis treated by arthroscopy
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