
Redness around the fingernail accompanied by joint pain could be indicative of paronychia, a common skin infection around the fingernails or toenails. It is usually caused by bacteria entering the skin through cuts or broken skin around the nail. It can also be caused by fungal infections, which tend to occur more slowly than bacterial infections. Paronychia is characterised by redness, pain, swelling, and tenderness around the nail, and can be treated with antibiotics and proper wound care.
| Characteristics | Values |
|---|---|
| Area around the nail | Red, swollen, warm, tender, and painful |
| Pus | May be present under the skin or leaking out of the wound; cloudy white-yellow in colour |
| Treatment | Antibiotics, incision and <co: 0,2,4,10,12,16>drainage, or removal of part of the nail |
| Cause | Bacterial or fungal infection, often due to injury, irritation, or moisture around the nail |
| Type | Acute (sudden, may not last long) or chronic (longer-lasting, may be caused by inflammation) |
| Risk factors | Diabetes, weak immune system, exposure to water or chemicals, nail biting, nail picking, frequent manicures |
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What You'll Learn
- Paronychia: a bacterial or fungal infection around the nail, causing redness, pain and swelling
- Felon: an infection of the fingertip pad, with redness, throbbing pain and swelling
- Herpetic whitlow: an infection causing redness, tenderness and a burning or itching sensation
- Cellulitis: a superficial infection causing redness, warmth, tenderness and slight swelling
- Deep space infections: an infection of the web space of the fingers, with redness and pain

Paronychia: a bacterial or fungal infection around the nail, causing redness, pain and swelling
Paronychia is a bacterial or fungal nail infection that causes redness, pain, and swelling around the nail. It occurs when bacteria or fungi enter broken skin near the cuticle and nail fold, causing an infection. The cuticle is the thin layer of skin at the base of the nail, and the nail fold is where the skin and nail meet. Paronychia can affect both fingernails and toenails.
Symptoms
The symptoms of paronychia include throbbing pain, swelling, and redness in the area surrounding the nail. The skin in this region is often warm and tender to the touch. Pus may accumulate under the skin, forming a white to yellow abscess that may require drainage. In some cases, the nail can become detached from the nail bed and fall off.
Causes
Paronychia is typically caused by bacterial or fungal infections. Bacteria, such as Staphylococcus aureus and Streptococcus pyogenes, can enter broken skin near the cuticle and nail fold through cuts or broken skin. Nail biting, aggressive manicuring, artificial nails, and frequent exposure to water or chemicals can also increase the risk of infection.
Treatment
Mild cases of paronychia can often be treated at home by soaking the infected area in warm water several times a day. Antibiotics may be prescribed to treat the bacterial infection, and in some cases, a small part of the nail may need to be removed to allow for proper drainage. For fungal paronychia, antifungal creams, lotions, or oral medications may be prescribed.
Prevention
To prevent paronychia, it is important to avoid nail biting and picking at the skin around the nails. Nails should be trimmed with clippers or manicure scissors, and cuticles should not be pushed back or trimmed. Individuals with diabetes or compromised immune systems should take extra precautions, as they are at a higher risk of developing paronychia.
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Felon: an infection of the fingertip pad, with redness, throbbing pain and swelling
Redness around the fingernail with joint pain could be indicative of a condition known as paronychia. This is an infection of the skin around the fingernail or toenail, which can become swollen, red, and painful, with a pus-filled blister (abscess) sometimes forming. It is usually caused by bacteria, but can also be caused by fungi. Paronychia can usually be treated at home, but in rare cases, it can spread to the rest of the finger or toe and lead to a deeper infection that requires medical attention.
Another possible cause of redness around the fingernail and joint pain is a condition called felon. Felon is an infection of the fingertip pad, characterised by redness, throbbing pain, and swelling. The swelling usually develops over several days and is located in the pad area of the fingertip. The area will be painful to the touch and may have a visible collection of pus under the skin. As the infection develops within the multiple compartments of the fingertip pad, incision and drainage are often required to treat it. Usually, an incision will be made on one or both sides of the fingertip.
While paronychia and felon are both infections of the finger, they affect different parts of the finger. Paronychia is an infection of the skin around the nail, whereas felon is an infection of the fingertip pad.
It is important to note that this response is not a substitute for professional medical advice, and if you are experiencing redness around your fingernail and joint pain, you should consult a doctor or healthcare professional for an accurate diagnosis and appropriate treatment plan.
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Herpetic whitlow: an infection causing redness, tenderness and a burning or itching sensation
Herpetic whitlow, also known as finger herpes or hand herpes, is a painful viral infection caused by the herpes simplex virus (HSV). It occurs when a type of HSV enters the skin around the finger, often through a small cut or sore, leading to redness, tenderness, and fluid-filled blisters. Both the HSV-1 strain, commonly responsible for cold sores, and the HSV-2 strain, typically associated with genital herpes, can cause herpetic whitlow.
The symptoms of herpetic whitlow include redness, tenderness, and a burning or itching sensation, which may be accompanied by pain and swelling. Small blisters, typically measuring 1-3 mm, develop within 5-20 days of exposure to the virus and usually rupture and scab over within 2-3 weeks. Herpetic whitlow can also cause swollen lymph nodes and, in rare cases, a fever. Recurrent infections are generally milder and less painful, with fewer and smaller blisters.
While the condition typically resolves without treatment within a few weeks, antiviral medications can help reduce symptoms and prevent the spread of the virus to other parts of the body or other people. It is important to note that herpetic whitlow is highly contagious, and precautions such as covering the affected area, frequent handwashing, and avoiding contact lenses are necessary to prevent transmission.
Herpetic whitlow can be diagnosed by medical professionals based on the appearance of sores or lesions, and laboratory tests, such as viral culture swabs or blood tests, can also be performed to confirm the presence of the HSV infection.
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Cellulitis: a superficial infection causing redness, warmth, tenderness and slight swelling
Redness around the fingernail can be a symptom of paronychia, a common nail infection. It is characterised by redness, swelling, and pain around the nail, often at the cuticle or site of a hangnail or other injury. In some cases, there may be pus-filled blisters. Paronychia is usually caused by bacterial or fungal infections, which can occur simultaneously. The infection can be acute, appearing suddenly with throbbing pain, or chronic, developing slowly with gradual swelling, tenderness, and redness.
Another possible cause of redness around the fingernail is cellulitis, a superficial infection. It is characterised by redness, warmth, tenderness, and slight swelling of the affected area. While cellulitis usually does not involve deep structures, if the motion of the fingers and hand becomes difficult or painful, it may indicate a deep space infection.
Other possible causes of redness around the fingernail include felon and herpetic whitlow. Felon is an infection in the fingertip pad, characterised by swelling and pain. Herpetic whitlow causes redness and tenderness of the fingertip area, with a possible burning or itching sensation.
If you are experiencing redness around the fingernail, it is important to consult a medical professional for proper diagnosis and treatment.
Cellulitis: A Superficial Infection Causing Redness, Warmth, Tenderness, and Slight Swelling
Cellulitis is a superficial infection that typically affects the skin, causing redness, warmth, tenderness, and slight swelling of the affected area. While it can occur anywhere on the body, it is most common on the face, arms, and legs. The infection is usually caused by bacteria, most often streptococcus and staphylococcus bacteria, which enter the body through breaks in the skin, such as cuts or wounds.
The symptoms of cellulitis include:
- Redness: The affected area becomes red and inflamed due to the body's immune response to the infection.
- Warmth: The infected area may feel warm to the touch due to increased blood flow to the site of the infection.
- Tenderness: The skin in the affected area may be sensitive or painful to the touch.
- Slight swelling: There may be mild to moderate swelling of the infected area.
It is important to note that while cellulitis usually affects the superficial layers of the skin, it can sometimes spread to deeper tissues or even the bloodstream if left untreated. Therefore, it is crucial to seek medical attention if you suspect you have cellulitis. Treatment typically involves oral or intravenous antibiotics to clear the infection and prevent its spread. In some cases, incision and drainage of the infected area may be necessary.
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Deep space infections: an infection of the web space of the fingers, with redness and pain
Redness around the fingernail and joint pain could be a result of paronychia, a nail infection. This is characterised by throbbing pain, swelling, and redness in the area surrounding the nail. It is usually caused by bacterial infections, and can be treated with antibiotics.
Deep space infections are bacterial infections that occur in the web space of the fingers. They are often the result of a puncture wound or deep cut that introduces bacteria to the deep tissue. This type of infection is also called a collar button abscess.
Deep space infections in the web space of the fingers are characterised by marked swelling, oedema, warmth, and pain. The fingers will be slightly spread apart by the increasing pressure, and the central area may have a soft spot that indicates a collection of pus under the skin.
Deep space infections can be difficult to diagnose due to their deep location. They are often identified by finding swelling between the fingers, with a slow spread to the surrounding fingers. This type of infection can become severe, and requires urgent medical evaluation and treatment. Early and appropriate treatment is key to preventing disability and possible loss of the finger.
If you are experiencing any signs or symptoms of a deep space infection, such as redness, pain, swelling, or warmth in the web space of the fingers, it is important to seek emergency medical care.
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Frequently asked questions
Paronychia is an infection of the skin that surrounds a toenail or fingernail. It is caused by bacteria or fungi that enter the skin through cuts in the cuticle and the nail fold (the skin around the nail).
The symptoms of paronychia include redness, swelling, pain, and warmth in the skin around the nail. In some cases, pus may build up under the skin, forming a white to yellow, pus-filled abscess.
Acute paronychia can often be treated at home by soaking the affected finger or toe in warm water several times a day. If symptoms do not improve or if pus develops, it is recommended to see a doctor. Treatment options may include oral or topical antibiotics, drainage of pus, and in some cases, removal of part of the nail.











































