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Subungual hemorrhages. A primary manifestation of diabetes mellitus.

Authors
  • Iglesias, P
  • Olmos, O
  • Sastre, J
  • Diez, J J
  • Fernandez, M L
  • Borbujo, J
Type
Published Article
Journal
Archives of family medicine
Publication Date
Mar 01, 1996
Volume
5
Issue
3
Pages
169–171
Identifiers
PMID: 8620258
Source
Medline
License
Unknown

Abstract

Subungual hemorrhages may be observed in a variety of systemic diseases and in some otherwise healthy persons. We describe three male patients who were referred because of toenail hemorrhages. Analytical investigations showed hyperglycemia in all the patients. Toenail bilateral hemorrhages were the first manifestation of previously undiagnosed type II diabetes mellitus in all cases. Ophthalmologic examination showed signs of background diabetic retinopathy in all three patients. The existence of retinopathy suggests that subungual hemorrhages might be due to microvascular involvement and could herald the presence of diabetes mellitus.

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