Splinter Haemorrhages
March 28th, 2020
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
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------