Stage

Signs and symptoms

Treatment

I

Erythema, slight edema and pain pressure is applied to the lateral fold

Conservative

IIa

Increased Stage I symptoms, drainage and infection, nail fold less than 3 mm

Conservative and/or matricectomy with hypertrophic ungual labia fold reduction

IIb

Increased Stage I symptoms, drainage and infection, nail fold 3 mm or greater

Same as Stage IIa

III

Magnified Stage II symptoms, presence of matricectomy with hypertrophic ungual labia fold granulation tissue and nail fold hypertrophy

Matricectomy with hypertrophic ungual labia fold