Image Challenge – May 29, 2022

Question: Name the finding in the image below and one condition that can cause this clinical finding.

Reference here – see below.

Answer: The finding above is called splinter hemorrhages. These can be seen in the setting of nail trauma, psoriasis, lichen planus, connective tissue diseases and infective endocarditis.


  1. For image – Reid, Gregory & Koechlin, Luca & Reuthebuch, Oliver & Rüter, Florian & Hopfer, Helmut & Eckstein, Friedrich & Santer, David. (2020). “Noninfective Endocarditis”: A Case Report of Hereditary Coagulation Disorders in a 28-Year-Old Male. Diagnostics. 10. 384. 10.3390/diagnostics10060384.
  2. Rich, P. (2022). Overview of nail disorders. UpToDate.

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