How does chronic paronychia differ from acute paronychia?

Chronic paronychia is characterized by its long duration and may present without the formation of pus, distinguishing it from acute paronychia. Whereas acute paronychia typically arises suddenly and often is accompanied by significant pain and purulent discharge, chronic paronychia develops more slowly, often in association with persistent irritants or conditions like eczema or diabetes. This condition can remain asymptomatic in terms of pain and pressure, making it less likely to present with pus, unlike its acute counterpart, which usually has clear inflammatory signs. Understanding these distinctions helps in early diagnosis and appropriate management of the condition.