What is the likely diagnosis for this scenario? How will you explain it to the mother?

Case Study #19
Six-year-old Tiffany Burke has come to the pediatrician’s office for treatment of an infection in their right hand. Her mother reports that Tiffany has been biting her fingernails since she was in preschool and has been poking her cuticles with pens or pencils since she was taken to get a French manicure. When you remove the adhesive bandage, you notice that the cuticle area is swollen and inflamed and there is evidence of purulent drainage on the bandage. The finger is tender when touched. There are slight red streaks extending from the cuticle up the finger. The mother says, “That wasn’t there last night!”
What is the likely diagnosis for this scenario? How will you explain it to the mother?
What care will be given to resolve this condition?

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