What is the cause of swelling, erythema (redness), and nail changes to the right index finger?

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Differential Diagnosis for Swelling and Erythema to Right Index Finger, and Nail Changes

  • Single Most Likely Diagnosis
    • Paronychia: This is an infection of the skin around the nail, which can cause swelling, erythema, and nail changes. It is a common condition that can be caused by bacterial or fungal infections.
  • Other Likely Diagnoses
    • Cellulitis: A bacterial infection of the skin and subcutaneous tissue, which can cause swelling, erythema, and warmth of the affected area.
    • Herpetic whitlow: A viral infection caused by herpes simplex virus, which can cause swelling, erythema, and vesicles on the finger.
    • Felon: An infection of the fingertip pulp, which can cause swelling, erythema, and pain.
  • Do Not Miss Diagnoses
    • Osteomyelitis: A bone infection that can cause swelling, erythema, and pain, and can lead to serious complications if not treated promptly.
    • Septic arthritis: A joint infection that can cause swelling, erythema, and pain, and can lead to serious complications if not treated promptly.
    • Necrotizing fasciitis: A rare but life-threatening infection that can cause swelling, erythema, and pain, and can lead to serious complications if not treated promptly.
  • Rare Diagnoses
    • Sarcoidosis: A systemic disease that can cause swelling, erythema, and nail changes, but is less common than other diagnoses.
    • Psoriatic arthritis: A type of arthritis that can cause swelling, erythema, and nail changes, but is less common than other diagnoses.
    • Erythromelalgia: A rare disorder that can cause swelling, erythema, and burning pain of the hands and feet.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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