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Nail Splinter Hemorrhage

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1. Nail Splinter Hemorrhage

Nail Splinter Hemorrhage Nail Splinter Hemorrhage Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Nail Splinter Hemorrhage Nail (...) Splinter Hemorrhage Aka: Nail Splinter Hemorrhage , Splinter Hemorrhage From Related Chapters II. Pathophysiology Capillary leak at epidermal ridge III. Signs Red or brown 1-3 mm long Typically start as red and then transition to brown or black Involves nail bed (not nail plate) Lines persist despite pressure applied to the nail Lines are due to blood that has leaked from the vasculature IV. Causes (classic) Only occurs in 15% of endocarditis cases Local (common cause) Trichinosis Other conditions

2018 FP Notebook

2. Splinter hemorrhages of the nails: a systematic review of clinical features and associated conditions. (PubMed)

Splinter hemorrhages of the nails: a systematic review of clinical features and associated conditions. Splinter hemorrhages (SHs) of the nails represent a frequent although not specific clinical finding that has been associated with conditions of varying severity. However, to date, there is no single report of their characteristics and etiologies. The aim of this study is to guide clinical practice by reviewing all of the data concerning SH of the nails that have become available since (...) the first description of this condition was published in 1923, with particular reference to all clinical features, associated medical conditions, pathogenesis, and necessary workup. PubMed and EMBASE were searched using the keywords "splinter" AND "hemorrhage*"; the only articles excluded were those studying SHs of the retina. Splinter hemorrhage is a frequent nail disorder that may be idiopathic, drug-induced, or a sign of a dermatological disease, such as psoriasis and lichen planus, or a wide range

2016 International Journal of Dermatology

3. Onychophagia Induced Melanonychia, Splinter Hemorrhages, Leukonychia, and Pterygium Inversum Unguis Concurrently (PubMed)

Onychophagia Induced Melanonychia, Splinter Hemorrhages, Leukonychia, and Pterygium Inversum Unguis Concurrently Onychophagia, which refers to compulsive nail-biting behavior, is common among children and young adults. Onychophagia can cause destruction to the cuticle and nail plate, leading to shortening of nails, chronic paronychia, and secondary infections. Relatively uncommon effects include pigmentary changes, such as longitudinal melanonychia and splinter hemorrhages. We report a case (...) of a young adult with longitudinal melanonychia, splinter hemorrhages, punctate leukonychia, and pterygium inversum unguis, concurrently induced by onychophagia. Importantly, patients usually do not report this behavior when asked about nail-related changes. Even upon questioning, they may deny nail-biting behavior. As in many other dermatological disorders, dermoscopy can be helpful in the diagnosis of nail disorders.

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2018 Case reports in dermatological medicine

4. Nail Splinter Hemorrhage

Nail Splinter Hemorrhage Nail Splinter Hemorrhage Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Nail Splinter Hemorrhage Nail (...) Splinter Hemorrhage Aka: Nail Splinter Hemorrhage , Splinter Hemorrhage From Related Chapters II. Pathophysiology Capillary leak at epidermal ridge III. Signs Red or brown 1-3 mm long Typically start as red and then transition to brown or black Involves nail bed (not nail plate) Lines persist despite pressure applied to the nail Lines are due to blood that has leaked from the vasculature IV. Causes (classic) Only occurs in 15% of endocarditis cases Local (common cause) Trichinosis Other conditions

2015 FP Notebook

5. Nail psoriasis: clinical features, pathogenesis, differential diagnoses, and management (PubMed)

hyperkeratosis, and splinter hemorrhages, and psoriasis of the distal nail bed and hyponychium causes onycholysis whereas that of the proximal nail fold causes psoriatic paronychia. The more extensive the involvement, the more severe is the nail destruction. Pustular psoriasis may be seen as yellow spots under the nail or, in case of acrodermatitis continua suppurativa, as an insidious progressive loss of the nail organ. Nail psoriasis has a severe impact on quality of life and may interfere (...) Nail psoriasis: clinical features, pathogenesis, differential diagnoses, and management Psoriasis is the skin disease that most frequently affects the nails. Depending on the very nail structure involved, different clinical nail alterations can be observed. Irritation of the apical matrix results in psoriatic pits, mid-matrix involvement may cause leukonychia, whole matrix affection may lead to red lunulae or severe nail dystrophy, nail bed involvement may cause salmon spots, subungual

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2017 Psoriasis (Auckland, N.Z.)

6. Nail Involvement in Patients with Psoriatic Arthritis in Northern Iran (PubMed)

psoriasis were consecutively invited to participate in this cross-sectional study. The patients are divided into two groups: those with and those without psoriatic arthritis.69.5% of psoriatic (137 out of 197) patients had nail involvement. The most common nail abnormality was onycholysis, followed by pitting and oil droplet changes. Nail involvement was more common in patients with psoriatic arthritis (82.1% versus 57.8%, p=0.001).Nail involvement is commonly associated with PsA. Onycholysis, splinter (...) Nail Involvement in Patients with Psoriatic Arthritis in Northern Iran Psoriatic arthritis (PsA) results in an increased burden of psoriasis and impairs both quality of life and an individual's functional capacity. The relationship between nail involvement and PsA in psoriasis is not fully characterized.To evaluate the frequency and characteristics of nail involvement in psoriatic patients and to assess the relationship with joint involvement.A total of 197 patients with moderate-to-severe

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2018 Autoimmune diseases

7. Dermoscopic features of psoriasis of the skin, scalp and nails - A systematic review. (PubMed)

was the presence of red dots/globules and twisted red loops. Typical dermoscopic (onychoscopic) signs of nail psoriasis were onycholysis, salmon patches and splinter hemorrhages. There is an accumulating body of evidence that dermoscopy (both handheld and videodermoscopy) is a useful tool in differential diagnosis in doubtful cases of psoriasis of the skin, scalp, nails, palms, soles, and genital regions. This article is protected by copyright. All rights reserved.This article is protected by copyright. All (...) Dermoscopic features of psoriasis of the skin, scalp and nails - A systematic review. Dermoscopy is a non-invasive in-office method, which enables the diagnosis of many dermatoses and reduces the need for performing biopsies. To date, no systematic review about the diagnostic usability of dermoscopy in psoriasis has been available. The objective of this article is to summarize and critically analyze literature data on the dermoscopy of skin, scalp and nail changes in psoriasis. A systematic

2018 Journal of the European Academy of Dermatology and Venereology

8. Comparison of NAPSI and N-NAIL for evaluation of fingernail psoriasis in patients with moderate-to-severe plaque psoriasis treated using ustekinumab. (PubMed)

52 (p = .04). Of the psoriatic nail features, only the splinter hemorrhages significantly improved at week 52 compared to baseline.When comparing the mean scores between week 0 and 52, the N-NAIL score (p = .04) better reflected a significant improvement of nail psoriasis than the NAPSI (p = .09), and ustekinumab treatment resulted in a more rapid and effective improvement of splinter hemorrhages. (...) Comparison of NAPSI and N-NAIL for evaluation of fingernail psoriasis in patients with moderate-to-severe plaque psoriasis treated using ustekinumab. We sought to determine the psoriatic nail feature which responds to ustekinumab treatment more effectively, and evaluate which between the Nail Psoriasis Severity Index (NAPSI) and the Nijmegen-Nail psoriasis Activity Index tooL (N-NAIL) better reflects the clinical improvement of nail psoriasis.Thirty patients with moderate-to-severe plaque

2018 Journal of Dermatological Treatment

9. An Investigator Initiated Open Label Study Evaluating the Efficacy and Tolerability of Oral Apremilast for the Treatment of Nail Psoriasis

findings: splinter hemorrhage, leukonychia, red spots in the lunula, nail pitting, nail plate crumbling, hyperkeratosis, and/or nail plate separation from the nail bed. The most characteristic nail findings associated with nail psoriasis are nail pitting, onycholysis with a rim of erythema, and oil spots. Special interest will be paid to identifying these particular nail findings in patients, however all potential nail psoriasis symptoms will be assessed in patients in this study. Due to the highly (...) An Investigator Initiated Open Label Study Evaluating the Efficacy and Tolerability of Oral Apremilast for the Treatment of Nail Psoriasis An Investigator Initiated Open Label Study Evaluating the Efficacy and Tolerability of Oral Apremilast for the Treatment of Nail Psoriasis - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study

2017 Clinical Trials

10. Nail findings in patients with psoriatic arthritis: A cross-sectional study with special reference to transverse grooves. (PubMed)

St. Luke's International Hospital (Tokyo, Japan) between July 2003 and February 2015. Patients with PsA were classified according to the Classification of Psoriatic Arthritis criteria. Skin lesion severity was assessed by using the Psoriasis Area and Severity Index, and 9 types of nail findings were investigated.The incidence of nail involvement in patients with PsA was 67.6%. Female sex, presence of transverse grooves, onycholysis, and splinter hemorrhages were significantly related to PsA (...) Nail findings in patients with psoriatic arthritis: A cross-sectional study with special reference to transverse grooves. Patients with psoriatic arthritis (PsA) commonly present with nail manifestations; however, little is known about these manifestations.This study investigated whether nail findings can be used to discriminate between PsA and psoriasis without arthritis.We performed a retrospective analysis of 118 patients with PsA and 974 patients with psoriasis without arthritis who visited

2017 Journal of American Academy of Dermatology

11. Nail psoriasis – what a rheumatologist should know about (PubMed)

was searched using the key words 'nail psoriasis' and 'psoriatic arthritis'. Psoriasis involving the nail matrix shows up as changes such as pitting, Beau lines, leukonychia, red spots in the lunula, or nail plate crumbling. Nail bed psoriasis manifests as onycholysis, oil drops (or salmon patches), dyschromia, splinter hemorrhages, or subungual hyperkeratosis. Nail psoriasis and psoriatic lesions in the gluteal cleft and on the scalp usually accompany PsA, especially in adult men. (...) Nail psoriasis – what a rheumatologist should know about Psoriasis is a chronic recurrent inflammatory skin disease with prevalence of 1-3%. Nail psoriasis affects 10-90% of patients with plaque psoriasis. The aim of the article is to review the literature for the correlation between nail psoriasis and psoriatic arthritis (PsA) to provide rheumatologists a short review on features of nail psoriasis, methods of their assessment and possible clinical repercussions. The PubMed database

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2017 Reumatologia

12. Nail involvement in systemic sclerosis. (PubMed)

examination.The prevalence of fingernail changes was 80.6% in SSc. Patients with SSc more frequently exhibited: trachyonychia (P = .006), scleronychia (P < .0001), thickened nails (P < .0001), brachyonychia (P = .0004), parrot beaking (P < .0001), pterygium inversum unguis (P < .0001), splinter hemorrhages (P < .0001), and cuticle abnormalities (P < .0001) than healthy control subjects. The presence of fingernail changes was associated with digital ulcers (P < .0001), calcinosis cutis (P = .004), and higher (...) Nail involvement in systemic sclerosis. Nail involvement has rarely been recognized in systemic sclerosis (SSc). Indeed, only a few small series have assessed nail changes in SSc, most of which are case reports.The aims of the current case-control study were to: (1) determine the prevalence of fingernail changes in SSc; and (2) evaluate the correlation between fingernail changes and other features of SSc.In all, 129 patients with SSc and 80 healthy control subjects underwent routine fingernail

2016 Journal of American Academy of Dermatology

13. Clinical Significance of Splinter Haemorrhages (PubMed)

Clinical Significance of Splinter Haemorrhages 14063073 1996 12 01 2018 12 01 0007-1447 2 5371 1963 Dec 14 British medical journal Br Med J CLINICAL SIGNIFICANCE OF SPLINTER HAEMORRHAGES. 1496-8 GROSS N J NJ TALL R R eng Journal Article England Br Med J 0372673 0007-1447 OM Diagnosis, Differential Endocarditis Endocarditis, Subacute Bacterial Fingers Hand Injuries Heart Diseases Hemorrhage Humans Nails DIAGNOSIS, DIFFERENTIAL ENDOCARDITIS, SUBACUTE BACTERIAL FINGERS HAND INJURIES HEMORRHAGE (...) NAILS 1963 12 14 1963 12 14 0 1 1963 12 14 0 0 ppublish 14063073 PMC1873757 Br Med J. 1958 Jul 19;2(5089):143-4 13560810

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1963 British medical journal

14. Splinter Haemorrhages in the Fingernails (PubMed)

Splinter Haemorrhages in the Fingernails 14063067 1996 12 01 2018 12 01 0007-1447 2 5371 1963 Dec 14 British medical journal Br Med J SPLINTER HAEMORRHAGES IN THE FINGER NAILS. 1485-6 JACKSON R H RH eng Journal Article England Br Med J 0372673 0007-1447 OM Diagnosis, Differential Heart Diseases Hemorrhage Humans Nails DIAGNOSIS, DIFFERENTIAL 1963 12 14 1963 12 14 0 1 1963 12 14 0 0 ppublish 14063067 PMC1873780 Br Med J. 1958 Jul 19;2(5089):143-4 13560810

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1963 British medical journal

15. Sub-Ungual Splinter Hæmorrhages (PubMed)

Sub-Ungual Splinter Hæmorrhages 14220406 1996 12 01 2018 12 01 0032-5473 40 1964 Oct Postgraduate medical journal Postgrad Med J SUB-UNGUAL SPLINTER HAEMORRHAGES. 595-600 DOWLING R H RH eng Journal Article England Postgrad Med J 0234135 0032-5473 OM Aging Anemia Diagnosis Endocarditis Endocarditis, Subacute Bacterial Female Hand Injuries Heart Diseases Hemorrhage Humans Menstruation Nails Statistics as Topic AGING ANEMIA DIAGNOSIS ENDOCARDITIS, SUBACUTE BACTERIAL HAND INJURIES HEMORRHAGE (...) MENSTRUATION NAILS STATISTICS 1964 10 1 1964 10 1 0 1 1964 10 1 0 0 ppublish 14220406 PMC2482633 Gut. 1963 Dec;4:378-93 14084750 Br Med J. 1963 Dec 14;2(5371):1496-8 14063073 Br Med J. 1958 Jul 19;2(5089):143-4 13560810 Lancet. 1960 Oct 1;2(7153):731-4 13758645 Ann Intern Med. 1961 Oct;55:550-61 14483545

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1964 Postgraduate medical journal

16. Dermoscopy to Detect Signs of Subclinical Nail Involvement in Chronic Plaque Psoriasis: A Study of 68 Patients (PubMed)

with chronic plaque psoriasis were recruited. Dermoscopy of nail plate was conducted and were compared with equal number of age and sex matched healthy volunteers.Forty-six patients showed dermoscopic findings. Twenty-two patients did not show any dermoscopic findings. Coarse pits (18/46, P < 0.0001), onycholysis (10/46, P < 0.001), oil drop sign (2/46, P = 0.12) and splinter hemorrhages (5/46, P = 0.05) were seen. In addition certain findings of interest were stout, globose, dilated, pink- to red-colored (...) nail bed vessels arranged longitudinally at the onychodermal band surrounded by a prominent halo (9/46, P = 0.01). In contrast, splinter hemorrhages appeared as streaks and were purple in color.In a psoriasis patient, dermoscope can be a useful tool to detect early nail involvement in psoriasis and aid in differentiating it from other disorders of nails.

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2015 Indian journal of dermatology

17. Nail Surgery (Diagnosis)

of the distal phalanx occurs in approximately one half of nail bed injuries. The type of fracture (open vs closed), [ ] the position of the fracture, and the extent of comminution determine treatment. Healing of the fracture is mostly related to the degree of initial displacement and soft tissue injury. Splinter hemorrhage Most commonly, trauma or certain disease processes easily injure the small, fine capillaries that line the epidermal-dermal ridges on the nail bed. [ , ] Splinter hemorrhages result from (...) the extravasation of blood into the potential space between the nail plate and the nail bed after capillaries are disrupted. They develop in the long axis of the nail bed, which conforms to the orientation of the dermal ridges and the subungual vessels. Other etiologic factors are associated with the formation of splinter hemorrhages in the nail bed; the hemorrhages may clinically occur in such conditions as , vasculitis, , arterial embolism, lupus, , cirrhosis, , , and . [ , , ] Certain drugs (eg, tetracycline

2014 eMedicine.com

18. Psoriasis, Nails (Treatment)

starts distally and progresses proximally, causing a traumatic uplifting of the distal nail plate. Secondary microbial colonization may occur. Nail plate crumbling Nail plate weakening due to disease of the underlying structures causes this condition. Splinter hemorrhage/dilated tortuous capillaries in the dermal papillae Splinter hemorrhages are longitudinal black lines due to minute foci of capillary hemorrhage between the nail bed and the nail plate. This is analogous to the Auspitz sign (...) . Previous Next: Histologic Findings Psoriasis can affect any part of the nail unit. Most changes occur in the nail plate. Histologic findings of nail psoriasis include mild-to-moderate hyperkeratosis, hypergranulosis, serum globules and hemorrhage in the corneum layer, papillomatous epidermal hyperplasia, and spongiosis. Previous Next: Overview of Treatment of Nail Psoriasis Many treatment options are available after the diagnosis of nail psoriasis is made. The treatments focus on improvement

2014 eMedicine.com

19. Psoriasis, Nails (Overview)

starts distally and progresses proximally, causing a traumatic uplifting of the distal nail plate. Secondary microbial colonization may occur. Nail plate crumbling Nail plate weakening due to disease of the underlying structures causes this condition. Splinter hemorrhage/dilated tortuous capillaries in the dermal papillae Splinter hemorrhages are longitudinal black lines due to minute foci of capillary hemorrhage between the nail bed and the nail plate. This is analogous to the Auspitz sign (...) . Previous Next: Histologic Findings Psoriasis can affect any part of the nail unit. Most changes occur in the nail plate. Histologic findings of nail psoriasis include mild-to-moderate hyperkeratosis, hypergranulosis, serum globules and hemorrhage in the corneum layer, papillomatous epidermal hyperplasia, and spongiosis. Previous Next: Overview of Treatment of Nail Psoriasis Many treatment options are available after the diagnosis of nail psoriasis is made. The treatments focus on improvement

2014 eMedicine.com

20. Nail Surgery (Overview)

of the distal phalanx occurs in approximately one half of nail bed injuries. The type of fracture (open vs closed), [ ] the position of the fracture, and the extent of comminution determine treatment. Healing of the fracture is mostly related to the degree of initial displacement and soft tissue injury. Splinter hemorrhage Most commonly, trauma or certain disease processes easily injure the small, fine capillaries that line the epidermal-dermal ridges on the nail bed. [ , ] Splinter hemorrhages result from (...) the extravasation of blood into the potential space between the nail plate and the nail bed after capillaries are disrupted. They develop in the long axis of the nail bed, which conforms to the orientation of the dermal ridges and the subungual vessels. Other etiologic factors are associated with the formation of splinter hemorrhages in the nail bed; the hemorrhages may clinically occur in such conditions as , vasculitis, , arterial embolism, lupus, , cirrhosis, , , and . [ , , ] Certain drugs (eg, tetracycline

2014 eMedicine.com

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