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Subungual hematomas typically heal without incident, though infection may occur. The pressure of the blood blister may cause separation of nail plate from the nail bed ( onycholysis ), but the nail should not be pulled off, as this can cause scarring of the nailbed and deformed nails. [ 3 ]
Subungual hematoma occurs when trauma to the nail results in a collection of blood, or hematoma, under the nail. It may result from an acute injury or from repeated minor trauma such as running in undersized shoes. Acute subungual hematomas are quite painful, and are usually treated by releasing the blood by creating a small hole in the nail.
The exact cause of subungual melanomas is not known, but it doesn’t seem to be linked to sun exposure. Having certain characteristics, including an age between 50 to 70, darker skin, and a ...
Onychauxis frequently shows up clinically as discoloration, subungual hyperkeratosis, and loss of nail plate translucency. [3] It may cause pain, and over time, distal onycholysis, subungual bleeding, subungual ulceration, or an elevated risk of onychomycosis might aggravate matters. [4] [5]
Distal subungual onychomycosis is the most common form of tinea unguium [2] and is usually caused by Trichophyton rubrum, which invades the nail bed and the underside of the nail plate. White superficial onychomycosis (WSO) is caused by fungal invasion of the superficial layers of the nail plate to form "white islands" on the plate.
When a toe is broken by crushing, there is often also a subungual hematoma (bleeding/bruising of the nail bed, under the toenail). [4] If there is enough blood to cause pain, it can be drained to relieve the pain and avoid (temporarily) losing the nail. [4] Draining is usually done if the injury is less than 24 hours old.
A bruise, also known as a contusion, is a type of hematoma of tissue, [3] the most common cause being capillaries damaged by trauma, causing localized bleeding that extravasates into the surrounding interstitial tissues. Most bruises occur close enough to the epidermis such that the bleeding causes a visible discoloration.
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