Swelling of the fingertips due to barb pulling may be a symptom of paronychia due to secondary infection, which can turn into pus in severe cases. Paronychial barbs are caused by the loss of local skin moisture leading to dryness, cracking and buckling, mostly due to physical or chemical irritation, which can lead to localized swelling, pain and other discomforts. After the occurrence of barbs, if the tearing and pulling of barbs, can lead to skin tearing and secondary infection, triggering inguinitis. Inflammation of the nail can be seen as localized redness and swelling of the nail, accompanied by tenderness, and in severe cases, pus can form abscesses with a fluctuating sensation. Localized rinsing with chlorhexidine acetate solution can help relieve swelling and pain. If there is clear abscess formation, longitudinal incision can be made along the nail groove to drain the abscess.