splinter hemorrhage (flame-shaped splinter hemorrhage)
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Introduction
Red or brown streaks in the nail*.
Etiology
- endocarditis (generally arising in the midportion of the nail bed)
- microemboli
- psoriasis
- lichen planus
- pityriasis rubra pilaris
- chronic renal failure
- autoimmune connective tissue disease
- trichinosis[5]
- onychomycosis[5]
- trauma[2]
Pathology
Clinical manifestations
- red-brown short fine lines in the nail bed
* flame-shaped splinter hemorrhages are also seen in the retina in patients with ischemic optic neuropathy.
More general terms
References
- ↑ Color Atlas & Synopsis of Clinical Dermatology, Common & Serious Diseases, 3rd ed, Fitzpatrick et al, McGraw Hill, NY, 1997, pg 500
- ↑ 2.0 2.1 Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015
- ↑ 3.0 3.1 Family Practice Notebook (images) Nail Splinter Hemorrhage. http://www.fpnotebook.com/derm/Nails/NlSplntrHmrhg.htm
- ↑ 4.0 4.1 Rashid RM, Barros BS (image) Hidden Heart Disease: 19 Dermatologic Clues You Should Know. Medscape. June 13, 2017. http://reference.medscape.com/slideshow/hidden-heart-disease-6004452
- ↑ 5.0 5.1 5.2 5.3 5.4 Brady MP Fingernail and Toenail Abnormalities: Nail the Diagnosis. Medscape March 17, 2021 https://reference.medscape.com/slideshow/fingernail-abnormalities-6002456