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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Splinter Hemorrhages Under The Nails?

Hi, I noticed that's I have splinter hemorrhages under my nails. I used to be a chronic nail bitter two months ago since I was 6 years old Should I take this seriously? I herd heart problems can cause it as well. I'm 24 years old. I workout all the time. Muscles on my chest have hurt. But I assumed that was from working out.
Mon, 23 Jan 2017
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General & Family Physician 's  Response
Hello dear
I understand your concern
Following are cause of splinter haemmorrhages:

Trauma: most common cause. It is usually seen in distal nail bed of dominant hand
If you have pain in chest every time then endocarditis should be rule out.
Other causes are SLE, Hypertension, rheumatoid arthritis, thrombocytopenia, hypertension, hyperthyroidism, diabetes, certain skin diseases like psoriasis, pemphigus and dermatitis.
I would suggest to consult internal medicine specialist and undergo complete evaluation and blood tests like CBC, ESR, CRP, RA factor, ASO, thyroid function tests, blood sugar levels and blood pressure check up
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.
Avoid stress take healthy diet, drink plenty of water do regular exercise.
Hope this may help you

Contact further if follow up needed
Best regards
Dr. Sagar
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What Causes Splinter Hemorrhages Under The Nails?

Hello dear I understand your concern Following are cause of splinter haemmorrhages: Trauma: most common cause. It is usually seen in distal nail bed of dominant hand If you have pain in chest every time then endocarditis should be rule out. Other causes are SLE, Hypertension, rheumatoid arthritis, thrombocytopenia, hypertension, hyperthyroidism, diabetes, certain skin diseases like psoriasis, pemphigus and dermatitis. I would suggest to consult internal medicine specialist and undergo complete evaluation and blood tests like CBC, ESR, CRP, RA factor, ASO, thyroid function tests, blood sugar levels and blood pressure check up 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. Avoid stress take healthy diet, drink plenty of water do regular exercise. Hope this may help you Contact further if follow up needed Best regards Dr. Sagar