Idiopathic splinter hemorrhages

Rao N. Saladi, Andrea N. Persaud, Donald Rudikoff, Steven R. Cohen

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


Splinter hemorrhages are non-blanchable usually distal reddish-brown linear hemorrhages beneath the nails. Among a variety of etiologic factors reported, trauma is the most common cause. A 26-year-old Hispanic female presented with asymptomatic, extensive fingernail hemorrhages of two months duration. There was no history of physical trauma to the nails. Treatment with a topical antifungal medication for one month produced no improvement. The past medical history was noncontributory. Extensive laboratory testing revealed no underlying systemic disease. Three months after the initial presentation, 6 of 10 fingernails showed signs of resolution without treatment. We conclude that idiopathic atraumatic subungual splinter hemorrhages can occur in healthy individuals. Spontaneous resolution occurred in our patient.

Original languageEnglish (US)
Pages (from-to)289-292
Number of pages4
JournalJournal of the American Academy of Dermatology
Issue number2
StatePublished - Feb 2004
Externally publishedYes

ASJC Scopus subject areas

  • Dermatology


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