Skin and Bone: Chronic Paronychia Leading to Osteomyelitis

Introduction: Paronychia can be both acute and chronic dependent on the chronicity of disease, with different etiologies linked to each. Acute paronychia is commonly secondary to bacterial infections, while chronic paronychia can be multifactorial and include inflammatory causes. Case Presentation: We present a case of chronic paronychia that developed into osteomyelitis of the affected finger. Conclusion: Because nail folds are anatomically close to the phalanges, it is important to monitor for worsening disease, as paronychia can develop into more serious infections.