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Splinter hemorrhage under the fingernail - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   I am a 37 y/o XXX male with no significant medical history other than chicken pox at age 5. I am a licensed paramedic with some medical knowledge.. I have had what looks like a splinter hemorrhage under my right first fingernail with associated pain both on application of pressure and with no stimulation. There is an occasional "callousing" or growth/thickening under the nailbed localized to the area of the "splinter". I have researched the causes of splinter hemorrhages to be bacterial endocarditis and trauma. I have no cardiac symptoms at all and am otherwise healthy. I have no recollection of trauma to the nailbed other than trying to "dig out" the "splinter" I thought I had when this first presented. It has been mostly steady for well over a year but has gone away or diminished to the point where it was not noticed only to return.
Doctor :   hi
User :   hello
Doctor :   please give me time to read\
Doctor :   ok
User :   I know this sounds silly but it causes pain though not excrutiating it is annoying and I want to get rid of it.
Doctor :   ok
Doctor :   have u seen a doctor??
User :   no, that is why I am talking to you!!! lol
Doctor :   ok
Doctor :   . Splinter hemorrhage is a nonspecific finding and can be associated with subacute bacterial endocarditis, scleroderma,
Doctor :   trichinosis, Systemic lupus erythematosus (SLE), rheumatoid arthritis, antiphospholipid syndrome, and trauma.
Doctor :   so it will be present not only in bacterial endocarditis
Doctor :   but also in many other conditions
Doctor :   however more common is * Trauma to the nail
* Subacute or acute bacterial endocarditis
Doctor :   did u have high grade fever recently??
User :   no
User :   other than the pain in my finger, I am completely asymptomatic
Doctor :   did u find similar petechiae in buccal mucosa or eyes?
User :   no
Doctor :   any nodes in the fingers??
User :   nope
Doctor :   mostly it might be because of minor trauma to finger nail
Doctor :   if u are very concerned then u need to get ur blood culture test along with echocardiography to rule out the symptoms
Doctor :   blood culture to rule out infection and echocardiography to rule out infection in the heart
Question is related to
Diseases and Conditions
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