Characteristics, Associated Diseases, and Management of Gram­negative Toe-web Infection: A French Experience

Authors

  • Anne Goiset
  • Brigitte Milpied
  • Aurélie Marti
  • Jérome Marie
  • Vaianu Leroy-Colavolpe
  • Anne Pham-Ledard
  • Olivier Chosidow
  • Marie Beylot-Barry

DOI:

https://doi.org/10.2340/00015555-3315

Keywords:

Gram-negative toe-web infection, Pseudomonas aeruginosa, eczema, contact dermatitis

Abstract

Gram-negative toe-web infection can cause pain and disability, be complicated by a long healing time, management failure, and cellulitis, and recur due to persistent predisposing factors. To describe the clinical features and management of Gram-negative toe-web infection and evaluate predisposing factors and associated diseases, their management, and the effect of controlling them on the rate of recurrence, we conducted a retrospective real-life study of patients with Gram-negative toe-web infection. Among the 62 patients (sex ratio 9:1), 31 experienced more than one episode of Gram-negative toe-web infection. Pseudomonas aeruginosa was the most prominent bacteria. Predisposing factors/associated diseases were eczema (66%), suspected Tinea pedis (58%), humidity (42%), hyperhidrosis (16%), psoriasis (11%), and vascular disorders (40%). Patients in whom associated diseases, such as eczema or psoriasis, were controlled did not relapse, suggesting the benefit of management of such conditions. We suggest that management of Gram-negative toe-web infection be standardised, with a focus on diagnosis and treatment of associated diseases.

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Published

2019-09-23

How to Cite

Goiset, A., Milpied, B., Marti, A., Marie, J., Leroy-Colavolpe, V., Pham-Ledard, A., … Beylot-Barry, M. (2019). Characteristics, Associated Diseases, and Management of Gram­negative Toe-web Infection: A French Experience. Acta Dermato-Venereologica, 99(12), 1121–1126. https://doi.org/10.2340/00015555-3315

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Section

Articles