Paronychiassa

Paronychia is a common infection affecting the skin around a fingernail or toenail. It typically involves the nail folds, which are the skin folds that surround the edges of the nail. The infection can be acute, developing rapidly over a few days, or chronic, persisting for six weeks or longer. Acute paronychia is most often caused by bacteria, such as Staphylococcus aureus, which can enter the skin through minor breaks or cuts. These breaks can occur from activities like nail biting, manicures, pedicures, or exposure to irritants. Symptoms of acute paronychia include redness, swelling, pain, and tenderness around the affected nail. A pus-filled blister, called an abscess, may also form. Chronic paronychia is usually associated with prolonged exposure to moisture or irritants, and can be caused by fungi like Candida albicans, as well as bacteria. It often affects individuals whose hands are frequently wet, such as dishwashers or healthcare workers. Symptoms of chronic paronychia are similar to acute paronychia but may develop more gradually and can include a feeling of numbness or a waxy texture to the skin. Treatment for acute paronychia typically involves warm compresses to help drain any pus, and in some cases, antibiotics. Chronic paronychia may require antifungal medications or avoiding the causative irritant.