Document Detail


Subungueal-splinter hemorrhage an early sign of thromboangiitis obliterans.
MedLine Citation:
PMID:  7235312     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Subungueal splinter hemorrhage (S.U.S.H.) has been reported in various conditions and may herald a serious systemic disease. It has been related to miscellaneous conditions such as: subacute bacterial endocarditis, severe rheumatoid arthritis, uninfected mitral stenosis, trichinosis, peptic ulcer, hypertension, neoplasm, trauma, and in some cases, is considered idiopathic. Some dermatologic conditions such as psoriasis, dermatitis, and fungal infections may also produce S.U.S.H. It consists of "a homogeneous mass of blood in a layer of squamous cells, adherent to the under surface of the nail, considered to be of embolic origin." In a brief review of pertinent medical literature on thromboangiitis obliterans, we were unable to find a description of its occurrence in this disease. The earliest lesions described in this condition are "painful vesicles on the pulp of digits with intense hyperemia and hypersensitivity of the surrounding skin." It is our opinion that S.U.S.H. is an earlier and quite useful sign of arterial involvement as seen in the following cases observed in our vascular disease section.
Authors:
J G Quenneville; D Gossard
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Angiology     Volume:  32     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:  1981 Jun 
Date Detail:
Created Date:  1981-07-09     Completed Date:  1981-07-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  424-32     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Hemorrhage / complications*
Humans
Male
Nail Diseases / complications*
Raynaud Disease / complications
Smoking
Thromboangiitis Obliterans / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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