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Signs
 
 

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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