Splinter Hemorrhage: Causes & Reasons

Possible Causes for Splinter Hemorrhage

He was afebrile but had a pansystolic murmur and a solitary splinter hemorrhage on the right thumb. [nejm.org]

splinter hemorrhages Neurological: Confusion, hemiplegia and sensory dysfunction due to emboli Subarachnoid hematoma due to rupture of mycotic aneurysm Renal: Infarction causes [pathologyoutlines.com]

* Splinter hemorrhages are long striations of blood under the nailbeds. 7 Figure. [nursingcenter.com]

Acute Bacterial Endocarditis

There is generalized clubbing: involving all the fingers and toes and there are two splinter hemorrhages in the left index finger. [prepareformedicalexams.blogspot.com]

O/e his blood pressure 140/90 mm Hg, Pulse 136/min, temperature 37.5, respiratory rate 22/min, janeway lesion, splinter hemorrhages, clubbing, Osler nodes, conjunctival hemorrhages [omicsonline.org]

Subacute Bacterial Endocarditis

SBE manifests many skin findings including petechiae, splinter hemorrhages of the nails, Osler's and laneway lesions, clubbing of the fingers, and findings suggestive of angiitis [ncbi.nlm.nih.gov]

Classical lesions associated with subacute bacterial endocarditis include petechiae, splinter hemorrhages, Osler's modes and Janaway lesions. [ncbi.nlm.nih.gov]

A case is reported with splinter hemorrhages and Janeway lesions, resulting from an infected radial artery catheter. [ncbi.nlm.nih.gov]

Bacterial Endocarditis

He was afebrile but had a pansystolic murmur and a solitary splinter hemorrhage on the right thumb. [nejm.org]

Physical exam Up to half of all patients will exhibit classic physical signs such as 1) petechiae, 2) splinter hemorrhages, 3) Osler's nodes, 4) Janeway lesions and 5) Roth's [symptoma.com]

Microscopic Polyangiitis

Cutaneous lesions (purpura, splinter hemorrhages) are found in 44 to 58% of the patients. [ncbi.nlm.nih.gov]

The nails may contain thin purplish lines, indicating bleeding (called splinter hemorrhages). Rarely, the blood supply to the fingers and toes is reduced. [msdmanuals.com]

Candida Endocarditis

Other signs can include: Small areas of bleeding under the nails ( splinter hemorrhages ) Red, painless skin spots on the palms and soles (Janeway lesions) Red, painful nodes [medlineplus.gov]

Subungual hemorrhages (ie, splinter hemorrhages) are linear and red. They are usually caused by workplace trauma to the hands and feet rather than by valvular infection. [emedicine.medscape.com]

[…] macules on the palms or soles (Janeway lesions), and splinter hemorrhages under the nails. [merckmanuals.com]

Hypereosinophilic Syndrome

Splinter hemorrhages were found in both hands. [neurology.org]

hemorrhages Palpable purpura Livedoid discoloration Wells syndrome [6] Erythroderma Eosinophilic vasculitis Acral necrosis [7] Petechiae Erythema annulare centrifugum Mucosal [e-ijd.org]

Janeway Lesions and Splinter Hemorrhages in a Patient With Eosinophilic Endomyocarditis. JAMA Dermatol. 2015 Aug. 151 (8):907-8. [Medline]. [emedicine.com]

Arterial Embolism

Can also get microangiopathic hemolytic anemias like TTP/HUS, HELLP, and in Catastrophic APS (see below) Skin manifestations are common and include splinter hemorrhages, livedo [errolozdalga.com]

Disseminated cholesterol emboli may produce a systemic illness with livedo reticularis of the lower limbs and splinter hemorrhages of the nails [33]. [intechopen.com]

Embolism

[…] pathology Embolism, obstruction of the flow of blood by an embolus, a particle or aggregate of substance that is abnormally present in the bloodstream. The substance may be a blood clot that has broken loose from its point of formation (while it is still adherent to the vessel at the point where it was formed, the[…] [britannica.com]

Right-Sided Endocarditis

Hemorrhage within the brain Conjunctival hemorrhage: Conjunctiva is a membrane that lines the inside of the eyelid and the sclera (the white part of the eye) Splinter hemorrhages [dovemed.com]

Doctors may also look for small, dark lines under your fingernails that look like wood splinters (called splinter hemorrhages) or burst blood vessels in the retina of your [texasheart.org]

Right-Sided Bacterial Endocarditis

Other findings may include splinter hemorrhages, Osler nodes, and Roth spots. The initial diagnostic test is transthoracic echocardiography (TTE). [consultant360.com]

Endocarditis

Reddish-brown streaks (splinter hemorrhages) may occur under the nails of the fingers and toes, and small painful nodules may appear in the pads of the fingers or toes (Osler [rarediseases.org]

Cutaneous manifestations include petechiae, Osler nodes, Janeway lesions, and splinter hemorrhages. [emedicine.medscape.com]

There may also be pale, oval spots on the retina of the eye (Roth’s spots) which may hemorrhage. [rarediseases.org]

Rheumatoid Arteritis

A 76-year-old male with a severely deforming rheumatoid arthritis, eosinophilia, polymyositis, and episcleritis developed a transient tonic pupil. The episcleritis, and a muscle biopsy revealing an occlusive arteritis with eosinophilia, suggest that a wide-spread rheumatoid arteritis caused a reversible ischemic insult to[…] [ncbi.nlm.nih.gov]

Mycotic Aneurysm

Mycotic aneurysm is a rare but life-threatening disease that warrants an integrated therapeutic approach involving surgical intervention and prolonged antibiotic use. However, the causative organisms are often unidentified because antibiotics started empirically render blood and tissue cultures negative. Molecular[…] [ncbi.nlm.nih.gov]

Idiopathic Cryoglobulinemia

Saúde Pública Brasil A proposito di un case di crioagglutininemia idiopatica, con crioglobulinemia ed infiltrazione linfoplasmacitoide midollare. / [Apropos of a case of idiopathic cryoagglutininemia with cryoglobulinemia and bone marrow lymphoplasmacytoid infiltration]. Cereda, U G ; Monti, G ; Montani, F ; Valbonesi, M. Artigo[…] [pesquisa.bvsalud.org]

Subungual Hematoma

The tests will hope to isolate the true disorder leading to splinter hemorrhages on the fingernails. What is the Treatment for Splinter Hemorrhage? [news-medical.net]

To date, benzidine stain has not been utilized to characterize splinter hemorrhage (subungual hematoma). [ncbi.nlm.nih.gov]

Rarely, what appears to be a subungual hematoma can be something else such as: Nail bed nevus (a mole or birthmark that grows slowly or not at all) Splinter hemorrhage (indicative [verywell.com]

Nail Dystrophy

hemorrhages Splinter hemorrhages Thin dark red lines 1-3 mm in length, representing small hemorrhages at the junction of the nail plate and the nail bed. [dermweb.com]

hemorrhages (Medical Encyclopedia) [ Read More ] [icdlist.com]

Splinter hemorrhages (A and B). Distal nail bed splinter hemorrhages are commonly caused by trauma. [aafp.org]

Fat Embolism

Most cases of fat embolism syndrome reported in the literature have developed after the instrumentation of fractures. Unequivocal cases of fat embolism in the setting of trauma before operative repair are rare because concomitant injuries may distort the clinical scenario. 1 Cases of primary cerebral fat embolism[…] [healio.com]

Subungual Fibroma

leukonychia, longitudinal striations, splinter hemorrhages Hemophilia Ingrown toenails, 98 pyogenic granulomata Histiocytosis X Onycholysis, pitting, splinter hemorrhages [musculoskeletalkey.com]

Additionally, there may be longitudinal melanonychia, proximal nail swelling and splinter hemorrhages found in capillaroscopy. [ijdvl.com]

Splinter Hemorrhages (nail bed disorder) Fine linear dark brown flecks running longitudinally in the nail plate. [quizlet.com]

Hyperviscosity Syndrome

A 56-year-old man had dyspnea, weight loss, hemoptysis, and a generalized bleeding diathesis. Physical examination disclosed hepatosplenomegaly, congestive heart failure, and multiple sites of bleeding. Severe anemia, thrombocytopenia, rouleaux formation, and a leukocytosis with circulating immature plasma cells were[…] [ncbi.nlm.nih.gov]

Congenital Leukonychia

Mee’s lines, splinter hemorrhages and Muehrcke’s lines have all been associated with renal failure. [bioline.org.br]

Aging changes in hair and nails Fungal nail infection Ingrown toenail Nail abnormalities Paronychia Splinter hemorrhages [coding-pro.com]

View/Print Figure FIGURE 5 Onycholysis and splinter hemorrhage. [aafp.org]

Idiopathic Recurrent and Disabling Cutaneous Herpes

hemorrhages. [emedicine.medscape.com]

Other cutaneous manifestations include polyarteritis nodosa–like lesions, splinter hemorrhages, and palmar erythema. [36] Laboratory detection and analysis of monoclonal immunoglobulins [emedicine.medscape.com]

[…] necrotizing vasculitis, livedo vasculitis, thrombophlebitis, cutaneous ulceration and necrosis, erythematous macules, purpura, ecchymoses, painful skin nodules, and subungual splinter [emedicine.medscape.com]

Acute Rheumatic Endocarditis

[…] patirnt not feeling well- often anorexia and weight loss -heart murmer, splenomegaly and petechiae -splinter hemorrhages are common - ocasionally, osler nodes and Roth's [cram.com]

(splinter nail) E = Emboli to brain (stroke) to kidney (renal failure) etc. [quizlet.com]

Secondary Optic Atrophy

Splinter hemorrhage at the disc margin may be observed. Glaucomatous optic atrophy histopathology. [emedicine.medscape.com]

Splinter hemorrhage at the disc margin may be observed. [/i] Glaucomatous optic atrophy histopathology. [thehealthscience.com]

hemorrhage at the disc margin may be observed Glaucomatous Optic Atrophy Advanced glaucomatous atrophy Diffuse enlargement of the optic cup Wipe out of all or a portion of [decisionmakerplus.net]

Loeffler Endocarditis

hemorrhages Fibrotic stage (late stage) Restrictive myopathy (10%) AV valvular regurgitation Right and left heart failure The image shows dense fibrosis of ventricle in a [odlarmed.com]

hemorrhages Fibrotic stage (late stage) Restrictive myopathy (10%) are associated with the following signs/symptoms: AV valvular regurgitation Right and left heart failure [emedicine.com]

Trachonychia

hemorrhages distaly moving inflammation of the nail fold acute- s.aur chronic-candida,fungal hypopigment line parallel to lunula hypoalbuminemia >1 / nail nail findings in [quizlet.com]

• Splinter hemorrhages. Differential Diagnosis Onycholysis, onychomycosis, trauma (toenails), eczema, alopecia areata. Management • Often unsatisfactory. [plasticsurgerykey.com]

Onychoscopic features of nail LP include: trachonychia, chromonychia, pitting, fragmentation of the body of the nail, splinter hemorrhages, onycholysis, subungual keratosis [idoj.in]

Primary Hypereosinophilic Syndrome

Cardiac examination revealed a holosystolic murmur, and nail examination revealed splinter hemorrhages (Figure 1A). [sciencerepository.org]

hemorrhages and nail fold infarcts as indicators of thromboembolic phenomenon, and cardiac auscultation to detect murmurs associated with endomyocardial disease. [arupconsult.com]

Splinter hemorrhage may precede the thromboembolic disease when endomyocardial involvement is present. [dermatologyadvisor.com]

Secondary Hypereosinophilic Syndrome

Cardiac examination revealed a holosystolic murmur, and nail examination revealed splinter hemorrhages (Figure 1A). [sciencerepository.org]

hemorrhages and nail fold infarcts as indicators of thromboembolic phenomenon, and cardiac auscultation to detect murmurs associated with endomyocardial disease. [arupconsult.com]

Splinter hemorrhage may precede the thromboembolic disease when endomyocardial involvement is present. [dermatologyadvisor.com]

Triangular Fibrocartilage Complex Injury

Differential Diagnosis Hypothenar hammer syndrome: Differentiate because there may be discoloration, fingertip ulcers, or splinter hemorrhages on the fourth or fifth digits [physio-pedia.com]

Primary Optic Atrophy

hemorrhages, and pallor -swelling reduces over time; pallor left over; determines visual outcome -ESR, CRP, brain scan ( to tule out SOL ) ESR is number one test - should [studyblue.com]

Splinter hemorrhage at the disc margin may be observed. [/i] Glaucomatous optic atrophy histopathology. [thehealthscience.com]

Splinter hemorrhage at the disc margin may be observed. Glaucomatous optic atrophy histopathology. [emedicine.medscape.com]