So this is my finger 9 days s/p skin avulsion while trying to install an air conditioner. It hurts like heck when touched and bleeds a little.
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If it bleeds just by even gentle touching, has a soft gooey texture to the exposed soft tissue base, is a beefy bright red, it likely is a pyogenic granuloma. (Look it up. It exists in Derm texts) My treatment of choice is local (or perhaps in your case a digital block) anesthetic, then cauterize all the gooey stuff with electrical or high tempurature cautery. It can go surprizingly deep. Silver nitrate can be enough but you have cauterize, scrape with currette, and cauterize until you are to normal firm deep tissue.
Oral antibiotics alone can’t do it. Topical antibiotics alone can’t do it.
This is also the common componant to ingrown nails (along with the offending nail). Simply removing the nail edge does not always stop the pain, bleeding, and odor. Gotta cauterize all that stuff in the nailfold too.
Hash is correct, it’s a pyogenic granuloma. I’m going to get it cauterized soon.
Could also be caused by removing fake nails?
FLESH EATING BACTERIA! RUN AWAY! RUN AWAY!
How do you differentiate this from a paronychia?
A paronychia is an abscess along the nail margin. This was a fleshy, tender, pedunculated lesion that is friable and bleeds easy.
Won’t it go away on its own?
epson salts and warm water, couple of times a day. Got one on my ring finger the week I got engaged, pictures were beautiful!!
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