I Seem To Have A Few Black Spots Under My Nails

Posted on Tue, 9 Feb 2021

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 9 Feb 2021 Answered on

Thu, 27 Feb 2025 Last reviewed on

Question : Hello hoping someone can help me out I seem to have a few black spots under my nails just noticed them since I took off all polish any suggestions

Answered by Dr. Diwashish Biswas (3 hours later)

Brief Answer:
Could be subungual hemorrhage

Detailed Answer:
Hello,
I have gone through your question, I understand your concern. Can you upload a photo of nails so that I am better able to help?
As per your description it could me due to subungual hemorrhage or melanoma.
Get some test done
Complete blood count
Prothrombin time
Bleeding time
Clotting time
And also you need physical examination done to rule out endocarditis, which can also lead to subungual hemorrhage.
I hope your query is clear now.
Thanks and regards
Dr Diwashish biswas

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Diwashish Biswas (9 hours later)

Hi
I had all cardiac work done in XXXXXXX of last year all normal
Complete blood work done in oct including traponin all normal

Answered by Dr. Diwashish Biswas (1 minute later)

Brief Answer:
Ok, then please share reports

Detailed Answer:
Hello,
I have gone through your question, I understand your concern.
Ok, as you have got all tests done, then please share echo cardiography report, bleeding time, clotting time and Prothrombin time report with me.
After looking above reports, i will be able to answer your query.
Thanks and regards
Dr Diwashish biswas

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Diwashish Biswas (1 hour later)

I only had cardiac work up done and had it checked by a cardiologist on this sight as well as my own no concerns at all
As for the clotting test and bleeding test I have not had that done since I only just raised this question I will discuss with my own gp

Answered by Dr. Diwashish Biswas (1 hour later)

Brief Answer:
Yes

Detailed Answer:
Hello.
I have gone through your question, I understand your concern.
Yes that is what i said, your finger nail spots could be due to simple bleeding disorders or melanoma or endocarditis.
So need echo cardiography to rule out endocarditis.
And bleeding time, clotting time to rule out other differential diagnosis.
I hope your query is clear now.
Thanks and regards
Dr Diwashish biswas

Above answer was peer-reviewed by : Dr. Yogesh D