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Nail Splinter HemorrhageAka: Splinter Hemorrhage

Pathophysiology
1. Capillary leak at epidermal ridge
Characteristics
1. Red or brown Nail Longitudinal Band
Associated Conditions
1. Subacute Bacterial Endocarditis (classic)
2. Local trauma (common cause)
3. Psoriasis
4. Onychomycosis
5. Trichinosis
Differential Diagnosis (cause similar appearing lesions)
1. Rheumatoid Arthritis
2. Systemic Lupus Erythematosus
3. Dermatomyositis
4. Scleroderma
5. Antiphospholipid Syndrome
6. Peptic Ulcer Disease
7. Oral Contraceptive use or pregnancy
References
1. Degowin (1987) Diagnostic Exam, Macmillan, p. 697

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 3/22/2010. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.

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Nail Splinter HemorrhageAka: Splinter Hemorrhage

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