Splinter Haemorrhages | Signs - MedSchool
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Splinter Haemorrhages

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Overview

    • Look For

    • Painless, longitudinal, non-blanching red-brown streaks of 1-3mm in length beneath the fingernails or toenails.
    • Significance

    • A sign of infective endocarditis, though may also be caused by trauma, drugs or certain types of vasculitis.
    • Causes of Splinter Haemorrhages

    • Nail bed trauma
    • Infective endocarditis
    • Vasculitis - antiphospholipid syndrome, SLE, Behcet's disease, rheumatoid vasculitis
    • Skin conditions - psoriasis, lichen planus
    • Drugs - sunitinib, sorafenib
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