Black vertical little lines on nail beds

[wgsuzy]

Just thought I would ask if anyone gets these? They don't hurt, or was cause by trauma or from black pen. Just notice 2 more? Been getting them in last 6 months. Just curious..

[Lure2]

It is probably "Splinter Haemorrhages".

Prof Hughes writes about it in his book; "Hughes Syndrome: Highways and Byways" : "Some patients with valvular heart disease and with Hughes syndrome have recurrent splinter haemorrhages making this a major differential diagnosis from infectious endocarditis". Under the picture; Splinter haemorrhages and thrombotic occlusions in the small blood vessels under the nail.

[wgsuzy in reply to Lure2]

Than you.

[Stereolover]

Hi I still get them even though I’m on blood thinners for APS. I was told by the rheumatologist whose care I was under that they’re a sign of APS. Mine aren’t necessarily vertical, hard to tell really as they’re so small. Broken pieces of a splinter is how I refer to them. I have one photo and I’m going to take photos every time more appear.

[wgsuzy in reply to Stereolover]

I'm only on baby aspirin for blood since 2016 when I was diagnosed with APS. No history of clots so far🤞more of memory issues, balance, joint pain, muscle pain, now malar rash

ect

[Stereolover in reply to wgsuzy]

Just out of curiosity what exactly do you mean when you say baby aspirin?

[wgsuzy in reply to Stereolover]

86mg as a blood thinner, along with hydroxychloroquine 400 mg

[Stereolover in reply to wgsuzy]

I don’t think taking 75mg is enough for me. I’ll see what happens at my appointment in September. Thanks for your reply.

[KellyInTexas Administrator]

Yes, as lure2 ( Kerstin from Sweden) says, most likely splinter haemorraheges. I also get them. I have one right now in fact.

Race a pic and show to your Hematologist or Rheumatoligist at next appointment.

[wgsuzy in reply to KellyInTexas]

Great, will do that. Thanks Kelly for suggesting pic 😘

[Stereolover in reply to KellyInTexas]

That’s exactly what I’m doing. I have a clear pic on my phone but I don’t know how to post it on here.

[KellyInTexas Administrator in reply to Stereolover]

It’s a shortcoming of this HU platform. You would have to start a brand new post and add your own photo to your own post.

[KellyInTexas Administrator in reply to Stereolover]

You cold go to my new post and put your comment- that might be helpful to others?

[KellyInTexas Administrator]

Do you want me to post a pic of mine for comparison? Others might find it useful also.

[wgsuzy in reply to KellyInTexas]

Yes, please

[KellyInTexas Administrator in reply to wgsuzy]

Will do now.

[Fra22-57]

I was just showing mine to husband yesterday they seemed to have appeared.For years have seen vertical ridges but not black ones before

[Dot69]

I also get them and also on my left foot toe nail next to my big toe 😊 A wonderful consultant asked to see my nails after my stroke I had a lot on my nails then and nobody had asked to look at my nails The ones on my toe nail do hurt they just grow out I’m also on warfarin

[Stereolover in reply to Dot69]

I was surprised when the rheumatologist I was under asked to look at my fingernails. I don’t know if I have ever had them on my toenails because they’re always painted. Maybe you could get referred back to the consultant for answers.

[Dot69 in reply to Stereolover]

I see my consultant once a year next appointment is in August I always mention these splinter haemorrhages but nothing is really said. I think they’re quite happy that I’m still running/swimming/cycling/walking etc,

INR is always all over the place I still go once a fortnight to be checked

[KellyInTexas Administrator in reply to Dot69]

No, my Rheumatoligist acknowledges them with the attitude of, “ oh, yes. “

So I’ve not ever thought much beyond that except to take a pic. Usually ( this is just me- I’m a complete weirdo when it comes to APS) I’m having large clotting- DVT’s in limbs despite a very high INR, so we are figuring out the next approach, etc. it has to be documented, as much as possible, to put in my file to support the need / protocol for next steps for trialing what ever is next with me.