Splinter hemorrhages under the nails
Another hemorrhagic manifestation is found in the nails as very small blood clots under the nail that run vertically and are commonly dismissed because they are not very noticeable. These hemorrhages are plum-coloured, but may change their coloration to become darker after a few days. While Roth’s spots are characteristic in infective endocarditis, splinter hemorrhages are frequent in many different conditions, and will not likely guide the diagnosis.