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What Causes Splinter Hemorrhages On The Finger Nails?

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Posted on Wed, 17 Aug 2016
Question: I have been getting splinter hemorrhages on my finger nails on and off for the last 2 years. I trim my nails very low but I also have Crohn's disease. I have foot pain, soreness and muscle aches that come and go. Also, I'm on Entivyo for Crohn's and have since August 2014. All my blood counts are good, and liver function, CBC, Sed Rate, C Diff, etc. are normal. I am concerned that this has something to do with warts on my feet but I had those removed and an immunization to HPV. I don't know if the hemorrhages mean more than what they actually are. I was tested for Lyme's, RA and Lupus with ANA blood tests and everything was normal. Not sure what to do?
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Answered by Dr. Asmeet Kaur Sawhney (55 minutes later)
Brief Answer:
Causes of splinter haemorrhages

Detailed Answer:
Hi
Thanks for being at healthcaremagic
I am Dr Asmeet Kaur Sawhney, a dermatologist.
Trauma is the most common cause of splinter haemorrhages. They are most frequently encountered on distal nail bed and on the fingers of the dominant hand.
They can occasionally occur in completely healthy people.
They are also seen in systemic disorders like Bacterial endocarditis, rheumatoid arthritis, systemic lupus erythematosus, thrombocytopenia, hypertension, hyperthyroidism, diabetes, certain skin diseases like psoriasis, pemphigus and dermatitis.
Since your tests are normal so all these conditions are excluded.
You can get your thyroid function tests, blood sugar levels and blood pressure checked to rule out hyperthyroidism, diabetes and hypertension respectively.
It these also come normal there is no need to worry as appearance of these splinter haemorrhages can be a normal occurrence in your case.
Regards
Dr Asmeet
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Asmeet Kaur Sawhney

Dermatologist

Practicing since :2007

Answered : 4993 Questions

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What Causes Splinter Hemorrhages On The Finger Nails?

Brief Answer: Causes of splinter haemorrhages Detailed Answer: Hi Thanks for being at healthcaremagic I am Dr Asmeet Kaur Sawhney, a dermatologist. Trauma is the most common cause of splinter haemorrhages. They are most frequently encountered on distal nail bed and on the fingers of the dominant hand. They can occasionally occur in completely healthy people. They are also seen in systemic disorders like Bacterial endocarditis, rheumatoid arthritis, systemic lupus erythematosus, thrombocytopenia, hypertension, hyperthyroidism, diabetes, certain skin diseases like psoriasis, pemphigus and dermatitis. Since your tests are normal so all these conditions are excluded. You can get your thyroid function tests, blood sugar levels and blood pressure checked to rule out hyperthyroidism, diabetes and hypertension respectively. It these also come normal there is no need to worry as appearance of these splinter haemorrhages can be a normal occurrence in your case. Regards Dr Asmeet