A client has recently had acrylic nails applied and complains of a burning sensation and redness around the nail folds, accompanied by slight swelling. The technician observes no signs of infection under the nail. What is the most probable condition, and what typically causes it?
- AOnycholysis; caused by separation of the nail plate from the nail bed.
- BOnychomycosis; caused by a fungal infection.
- CPseudomonas; caused by bacterial growth under lifted product.
- DParonychia; often caused by irritation or minor injury to the nail fold.
Show answer & explanationAnswer & explanation
Correct answer: D. Paronychia; often caused by irritation or minor injury to the nail fold.
Paronychia is an inflammation of the skin around the nail (the nail fold). A burning sensation, redness, and swelling around the nail folds, especially after a nail service, are classic symptoms. It is often caused by irritation, minor trauma (like aggressive cuticle pushing or trimming), or chemical exposure during the application process, creating an entry point for bacteria or irritants.
Why the other options are wrong
- A. Onycholysis is the separation of the nail plate from the nail bed, not primarily characterized by inflammation of the surrounding skin.
- B. Onychomycosis is a fungal infection of the nail plate itself, causing discoloration and crumbling, not typically immediate burning and redness of the skin.
- C. Pseudomonas causes a greenish discoloration under the nail, not primary inflammation of the nail fold.
Paronychia
An inflammation of the skin around the nail (nail fold), characterized by redness, swelling, tenderness, and sometimes pus. It can be acute or chronic, often caused by irritation, minor trauma, or infection.
- Inflammation of nail fold
- Redness, swelling, tenderness
- Caused by irritation, trauma, infection
- Requires gentle handling, medical attention if severe
Memory trick: Red, puffy, hot around the nail? Paronychia's tale!