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Nail Splinter Hemorrhage

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1. Nail Splinter Hemorrhage

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 (...) (C0474374) Concepts Finding ( T033 ) SnomedCT 271770005 English Splinter haemorrhages nail , Splinter hemorrhages nail , nail splinter hemorrhages , splinter hemorrhages of nail (physical finding) , splinter hemorrhages of nail , Splinter haemorrhages under nail , Splinter hemorrhages under nail , Splinter hemorrhages under nail (finding) Spanish hemorragias subungueales en astillas (hallazgo) , hemorragias subungueales en astillas Derived from the NIH UMLS ( ) Related Topics in Nail Disorders About

2018 FP Notebook

2. Onychophagia Induced Melanonychia, Splinter Hemorrhages, Leukonychia, and Pterygium Inversum Unguis Concurrently Full Text available with Trip Pro

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.

2018 Case reports in dermatological medicine

3. A histological study of the nail region in normal human subjects and in those showing splinter haemorrhages of the nail Full Text available with Trip Pro

A histological study of the nail region in normal human subjects and in those showing splinter haemorrhages of the nail 14421638 1998 11 01 2018 12 01 0021-8782 93 1959 Jul Journal of anatomy J. Anat. A histological study of the nail region in normal human subjects and in those showing splinter haemorrhages of the nail. 323-30 MARTIN B F BF PLATTS M M MM eng Journal Article England J Anat 0137162 0021-8782 OM Humans Nails anatomy & histology injuries NAILS/anatomy and histology NAILS/wounds

1959 Journal of anatomy

4. Linear Pitting and Splinter Haemorrhages Are More Commonly Seen in the Nails of Patients with Established Psoriasis in Comparison to Psoriatic Arthritis. (Abstract)

Linear Pitting and Splinter Haemorrhages Are More Commonly Seen in the Nails of Patients with Established Psoriasis in Comparison to Psoriatic Arthritis. Recently the role of several ligament and tendon insertions around the nail matrix and nail plate have been identified as possible contributory factors that explain the higher prevalence of nail involvement in psoriatic arthritis (PsA). The purpose of this study was to determine whether such anatomical factors might also be associated (...) with different patterns of nail involvement in skin psoriasis and PsA.A total of 173 patients were recruited: 121 PsA cases and 52 psoriasis cases. All patients had a standardised assessment of the nails for lesions including pitting, splinter haemorrhages and onycholysis.The overall modified Nail Psoriasis Severity Index scores did not differ between the two groups (psoriasis mean 8.5, SD 7.1; PsA mean 8.3, SD 9.4). In the nail matrix, linear pitting appeared to be more common in skin psoriasis (OR 0.27, 95

2012 Dermatology

5. Nail Splinter Hemorrhage

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 (...) (C0474374) Concepts Finding ( T033 ) SnomedCT 271770005 English Splinter haemorrhages nail , Splinter hemorrhages nail , nail splinter hemorrhages , splinter hemorrhages of nail (physical finding) , splinter hemorrhages of nail , Splinter haemorrhages under nail , Splinter hemorrhages under nail , Splinter hemorrhages under nail (finding) Spanish hemorragias subungueales en astillas (hallazgo) , hemorragias subungueales en astillas Derived from the NIH UMLS ( ) Related Topics in Nail Disorders About

2015 FP Notebook

6. Splinter Haemorrhages in the Fingernails Full Text available with Trip Pro

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

1963 British medical journal

7. Clinical Significance of Splinter Haemorrhages Full Text available with Trip Pro

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

1963 British medical journal

8. Nail psoriasis: clinical features, pathogenesis, differential diagnoses, and management Full Text available with Trip Pro

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

2017 Psoriasis (Auckland, N.Z.)

9. Nail Involvement in Patients with Psoriatic Arthritis in Northern Iran Full Text available with Trip Pro

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

2018 Autoimmune diseases

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

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

11. A study of dermoscopic features of nail psoriasis Full Text available with Trip Pro

enrolled. Following a thorough clinical examination, patients were graded according to the Nail Psoriasis Severity Index and physician's global assessment score. A dermoscopic examination of all fingernails and toenails was performed using a videodermatoscope. Mann-Whitney U and χ2 tests were used for statistical analysis, with a significance threshold of p < 0.05.The most frequently observed dermoscopic features were splinter haemorrhage (73.1%), pitting (58.2%), distal onycholysis (55.2%), dilated (...) A study of dermoscopic features of nail psoriasis Dermoscopy is a non-invasive imaging method that enables the evaluation of pigmented and non-pigmented skin lesions. More recently, dermoscopy has been recognized as an effective tool in the diagnosis of nail diseases.To evaluate the dermoscopic features of nail psoriasis and to assess the relationship between these features and disease severity.A total of 67 patients with clinically evident nail psoriasis (14 women, 53 men) were prospectively

2017 Advances in Dermatology and Allergology/Postȩpy Dermatologii i Alergologii

12. Nail psoriasis – what a rheumatologist should know about Full Text available with Trip Pro

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

2017 Reumatologia

13. Nail involvement in psoriatic arthritis Full Text available with Trip Pro

- the presence of the latter is a strong predictor of the development of arthritis. There is a broad spectrum of nail dystrophies associated with psoriasis, ranging from the common pitting, subungual hyperkeratosis and loosening of the nail plate to less frequent discolouration and splinter haemorrhages. Some of these symptoms are also observed in other nail diseases, and further diagnostics should be performed. The assessment tools NAPSI (Nail Psoriasis Severity Index), mNAPSI (Modified Nail Psoriasis (...) Nail involvement in psoriatic arthritis Nail psoriasis is considered a significant psychological and social problem causing functional impairment in affected patients. Nail changes hamper their daily and occupational activities and contribute to a worse quality of life. Almost 50% of patients with psoriasis vulgaris and up to 80% of patients with psoriatic arthritis are afflicted with nail lesions. The important correlation between psoriatic arthritis and nail changes is well established

2017 Reumatologia

14. Efficacy of Combined Fractional Carbon Dioxide Laser and Topical Tazarotene in the Treatment of Psoriatic Nail Disease

on their quality of life. Treatment of nail psoriasis is disappointing, as it is refractory to treatment, with conventional therapies often having little effect. Condition or disease Intervention/treatment Phase Nail Psoriasis Device: fractional carbon dioxide laser Drug: Tazarotene Cream 0.1% Phase 4 Detailed Description: The characteristic lesions affecting the nail present as 'oil drop' discoloration, splinter haemorrhages, subungual hyperkeratosis, and onycholysis in the nail bed or pitting, leuconychia (...) Efficacy of Combined Fractional Carbon Dioxide Laser and Topical Tazarotene in the Treatment of Psoriatic Nail Disease Efficacy of Combined Fractional Carbon Dioxide Laser and Topical Tazarotene in the Treatment of Psoriatic Nail Disease - 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 Warning You have reached the maximum

2017 Clinical Trials

15. 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

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

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

17. Nail involvement in systemic sclerosis. (Abstract)

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

18. Dermoscopy to Detect Signs of Subclinical Nail Involvement in Chronic Plaque Psoriasis: A Study of 68 Patients Full Text available with Trip Pro

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.

2015 Indian journal of dermatology

19. Sub-Ungual Splinter Hæmorrhages Full Text available with Trip Pro

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

1964 Postgraduate medical journal

20. Nail Surgery (Diagnosis)

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 (...) extend to involve the underlying bone. The connective tissue of the dermis, the dermal collagen, contains a balanced mixture of lymphatics, blood vessels, and elastic fibers. The dermis also has a wealth of glomus bodies and a rich capillary network longitudinally oriented with the parallel ridges. Splinter hemorrhages of the nail plate form when a small amount of blood leaks from the capillary bed into one of these folds and becomes trapped by the nail plate. [ ] Melanocytes are not found

2014 eMedicine.com

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