Splinter hemorrhage: Difference between revisions
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[[Image:Splinter_hemorrhage.jpg|thumb|left|Splinter hemorrhage on a [[fingernail|nail]] of the [[little finger]].]] | |||
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==Overview== | ==Overview== | ||
'''Splinter hemorrhages''' (or '''haemorrhages''') are tiny lines that run vertically under nails. Splinter hemorrhage is a nonspecific finding and can be associated with subacute bacterial [[endocarditis]], [[scleroderma]], [[trichinosis]], [[Systemic lupus erythematosus]] (SLE), [[rheumatoid arthritis]], [[psoriatic nails]]<ref>http://emedicine.medscape.com/article/1107949-overview</ref>, [[antiphospholipid syndrome]]<ref name="Fitz2">Freedberg, et al. (2003). ''Fitzpatrick's Dermatology in General Medicine''. (6th ed.). McGraw-Hill. ISBN 0071380760.</ref>{{rp|659}}, and trauma.<ref name="Bolognia">{{cite book |author=Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. |title=Dermatology: 2-Volume Set |publisher=Mosby |location=St. Louis |year=2007 |pages= |isbn=1-4160-2999-0 |oclc= |doi= |accessdate=}}</ref> At first they are usually plum-colored, but then darken to brown or black in a couple of days. | |||
In certain conditions (in particular, infective [[endocarditis]]), clots can migrate from the affected heart valve and find their way into various parts of the body. If this happens in the finger, it can cause damage to the capillaries resulting in a splinter hemorrhage. | |||
There are a number of other causes for splinter hemorrhages. They could be due to hitting the nail ("trauma"), a sign of inflammation in blood vessels all around the body ("systemic vasculitis"), or they could be where a bit of cholesterol has got lodged in the finger's capillaries. Even if a patient does have infective endocarditis, probably 5 in every 6 patients won't have splinter hemorrhages. | |||
==References== | |||
{{reflist}} | |||
== See also == | |||
* [[Skin lesion]] | |||
* [[List of cutaneous conditions]] | |||
==External links== | |||
* [http://www.forusdocs.com/photo_gallery/photo_gallery_main.htm] Image of Splinter Hemorrhage in Patient With Scleroderma | |||
{{DEFAULTSORT:Splinter Hemorrhage}} | |||
[[Category:Symptoms and signs: Skin and subcutaneous tissue]] | |||
[[Category:Conditions of the skin appendages]] | |||
==References== | ==References== |
Revision as of 13:18, 11 September 2011
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Splinter hemorrhages (or haemorrhages) are tiny lines that run vertically under nails. Splinter hemorrhage is a nonspecific finding and can be associated with subacute bacterial endocarditis, scleroderma, trichinosis, Systemic lupus erythematosus (SLE), rheumatoid arthritis, psoriatic nails[1], antiphospholipid syndrome[2]:659, and trauma.[3] At first they are usually plum-colored, but then darken to brown or black in a couple of days. In certain conditions (in particular, infective endocarditis), clots can migrate from the affected heart valve and find their way into various parts of the body. If this happens in the finger, it can cause damage to the capillaries resulting in a splinter hemorrhage.
There are a number of other causes for splinter hemorrhages. They could be due to hitting the nail ("trauma"), a sign of inflammation in blood vessels all around the body ("systemic vasculitis"), or they could be where a bit of cholesterol has got lodged in the finger's capillaries. Even if a patient does have infective endocarditis, probably 5 in every 6 patients won't have splinter hemorrhages.
References
- ↑ http://emedicine.medscape.com/article/1107949-overview
- ↑ Freedberg, et al. (2003). Fitzpatrick's Dermatology in General Medicine. (6th ed.). McGraw-Hill. ISBN 0071380760.
- ↑ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 1-4160-2999-0.
See also
External links
- [2] Image of Splinter Hemorrhage in Patient With Scleroderma