Subungual Hematoma (Bloody toenail)

Updated: Aug 27, 2019



Cause: Chronic irritation of the nail from rubbing in shoes or direct trauma to the nail.

Appearance: Dark red/blue/purple toenail, blood under the nail, loose nail.

Treatment: Early evaluation to rule out a broken bone. Evacuation of blood performed with sterile instruments followed by antibiotic ointment and bandage with or without removal of a portion or the whole nail.

Example:

Long-term prognosis: Nail can become thickened if the nail root is involved. If the bone underneath is broken this is an emergent situation that should be under the care of a doctor immediately.

Who to call: Podiatrist.



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