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Subungual hematomas are treated by either making a hole through the nail into the hematoma within 48 hours of injury, draining the blood and releasing the pressure, [5] or, less conservatively, by removing the entire nail. [10]
Zubritsky also drew the distinction between a subungual melanoma and a subungual hematoma, which is when blood pools under the nail after a trauma like getting a finger caught in a door or ...
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.
A hematoma is benign and is initially in liquid form spread among the tissues including in sacs between tissues where it may coagulate and solidify before blood is reabsorbed into blood vessels. An ecchymosis is a hematoma of the skin larger than 10 mm. [2]
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.
[15] [16] The term also applies to the subcutaneous discoloration resulting from seepage of blood within the injured tissue. Bruise colors vary from red, blue, or almost black, depending on the severity of broken capillaries or blood vessels within the bruise site. Broken venules or arterioles often result in a deep blue or dark red bruise ...
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]
Splinter hemorrhages (or haemorrhages) are tiny blood clots that tend to run vertically under the nails.Splinter hemorrhages are not specific to any particular condition, and can be associated with subacute infective endocarditis, scleroderma, trichinosis, systemic lupus erythematosus (SLE), rheumatoid arthritis, psoriatic nails, [1] antiphospholipid syndrome, [2]: 659 haematological ...