### Patient: Hi doctor, I have irregular appearing nails, hand and finger pain. The skin on my arm or hand also looks infected and I am experiencing sinus congestion. What could this be?
### Doctor: It sounds like you may have paronychia. It's an infection that occurs around the nails and can cause pain and swelling in the affected area. The sinus congestion is likely not related and may be a separate issue. We can prescribe antibiotics to help clear up the infection.