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Alternative namesSplinter hemorrhages are small areas of bleeding or hemorrhage under fingernails or toenails. They take the shape of straight lines and may be caused by microembolic damage to the vessels.
ConsiderationsSplinter hemorrhages appear as narrow red to reddish brown hemorrhages beneath the nails. They run in the direction of nail growth and are named splinter hemorrhage because they have the appearance of a splinter beneath the fingernail. The hemorrhages may be caused by microscopic clots that damage the small capillaries under the nails.
Splinter hemorrhages are associated with endocarditis and may represent vessel damage from inflammation of the blood vessels ( vasculitis ) or microscopic clots that damage the small capillaries (microemboli).
Home CareThere is no particular care for splinter hemorrhages. Strictly adhere to your health care provider's instructions for the treatment of endocarditis.
Call your health care provider if
The medical history will be obtained and a physical examination performed.
Medical history questions documenting splinter hemorrhage in detail may include:
Laboratory studies may include:
You may want to add a diagnosis related to splinter hemorrhages to your personal medical record.
Update Date: 2/12/2004Sreeni Jonnalagadda, M.D., Interventional and Pancreatobiliary Endoscopy, Washington University School of Medicine, St. Louis, MO. Review provided by VeriMed Healthcare Network.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT