Small hemorrhages are noted under the nailbed of a patient with a history of intravenous drug abuse.This finding is associated with:

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Small hemorrhages under the nailbed,known as splinter hemorrhages,are associated with bacterial endocarditis,a complication of IV drug abuse.A distal band of reddish-pink covering 20% to 60% of the nail (half and half nails)is seen in patients with low albumin levels and renal disease.White spots may indicate zinc deficiency.

Small Hemorrhages Are Noted Under the Nailbed of a Patient