01152nas a2200181   4500000000100000008004100001653000900042653001200051653001700063653001500080100001600095700001300111245002900124300001400153490000700167520078200174022001400956       2014                            d10aHand10aleprosy10aTuberculosis10aInfections1 aAl-Qattan M1 aHelmi AA00aChronic Hand Infections.  a1636-16450 v393 a<p>Chronic infections of the hand are uncommon, and a high index of suspension is required for their early diagnosis. These can be grouped based on the microorganism. Mycobacterial infections include tuberculosis, atypical mycobacterial infections, and leprosy. Other bacterial infections include actinomycosis, cat-scratch disease, syphilis, tularemia, bacillary angiomatosis, and actinomycetoma. Fungal infections may be classified as cutaneous (affecting the skin, the paronychia or nail plate), subcutaneous (mainly lymphocutaneous sporotrichosis and dermatiaceous infections), and deep fungal infections. Each type of deep fungal infection has a "classic" presentation and this is emphasized. Finally, common chronic viral infections of the hand include warts and orf.</p>  a1531-6564