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He believed a dark spot that appeared under his toenail was due to a soccer injury, when it was actually acral lentiginous melanoma, according to the Skin Cancer Foundation.
The blood pools under the nail, giving a reddish, brownish, blueish, or grey/blackish discoloration. The blood puts pressure to the nailbed causing pain which can be throbbing in quality and disappears when the pressure on the nail bed is relieved. [2] Subungual hematomas typically heal without incident, though infection may occur.
Dark nails are associated with B 12 deficiency. Stains of the nail plate (not the nail bed) are associated with smoking and henna use. Splinter hemorrhages (or haemorrhages) are tiny blood clots that tend to run vertically under the nails. Drug-induced nail changes are caused by drug usage which may result in various abnormalities. [6]: 665–6
In most cases, when white spots appear on a single or a couple of fingernails or toenails, the most common cause is injury to the base (matrix) of the nail. When this is the case, white spots disappear after around eight months, which is the amount of time the nails take to regrow completely.
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Melanonychia is a black or brown pigmentation of a nail, and may be present as a normal finding on many digits in Afro-Caribbeans, as a result of trauma, systemic disease, or medications, or as a postinflammatory event from such localized events as lichen planus or fixed drug eruption. [1]: 790 [2]: 665