NIC Nail Technician Written ExamNail Technology ProceduresMedium
A client has recently had acrylic nails applied and complains of a burning sensation and redness around the nail folds. The technician observes localized inflammation and tenderness. Which of the following conditions is MOST likely indicated?
- AOnycholysis
- BOnychocryptosis
- CTinea unguium
- DParonychia
Show answer & explanationAnswer & explanation
Correct answer: D. Paronychia
Paronychia is an inflammation of the nail folds (the skin around the nail plate), often presenting with redness, tenderness, and sometimes pus. It can be caused by irritation, injury, or infection, and is common after nail services if proper sanitation or technique is not followed.
Why the other options are wrong
- A. Onycholysis is the separation of the nail plate from the nail bed, not inflammation of the nail folds.
- B. Onychocryptosis is an ingrown nail, which causes pain and inflammation but is specifically related to the nail edge growing into the skin, not general nail fold inflammation.
- C. Tinea unguium (onychomycosis) is a fungal infection of the nail plate, causing discoloration and thickening, not typically acute inflammation of the nail folds.
Paronychia
An inflammation or infection of the skin fold around the nail plate, characterized by redness, swelling, tenderness, and sometimes pus.
- Can be acute or chronic
- Often caused by trauma, irritation, or infection (bacterial/fungal)
- Requires medical attention if severe or persistent
Memory trick: RED, HOT, and HURTING 'around' the nail? It's PARO-nychia.