What is usually the first sign of paronychia?

The first sign of paronychia is typically swelling. This condition occurs when the skin around the nail becomes inflamed, often as a result of an infection or irritation. When swelling is present, it indicates that there is an inflammatory response occurring in the area, which is a common initial reaction of the body to infection or damage.

While discoloration, pain, and itching can also occur as the condition progresses, swelling is the most immediate visible sign that is often noticed first. This swelling can lead to discomfort and changes in the other symptoms, but its presence initially signals that paronychia is developing. Thus, recognizing swelling as the first sign enables timely intervention and management of the condition.