
Black vertical lines on nails can be a cause for concern. Known as splinter hemorrhages, these lines can be a symptom of melanonychia, which is caused by increased melanin deposits in the nail or changes in nail pigmentation. They can also be a sign of trauma, bacterial, fungal or HIV infection, drug therapy, endocrine disorders, or excess melanin production within the nail matrix. In some cases, they may indicate a more serious condition such as melanoma or nail cancer. It is important to seek medical advice if you notice any changes in your nails, especially if there is no obvious cause.
| Characteristics | Values |
|---|---|
| Name | Splinter hemorrhage |
| Colour | Black |
| Direction | Vertical |
| Cause | Melanonychia, trauma, bacterial, fungal or HIV infection, drug therapy, endocrine disorders, exogenous pigmentation, excess melanin production, vitamin B12, vitamin D or protein deficiency, cancer, too much iron |
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What You'll Learn

Splinter haemorrhages
A narrow, vertical black line on your nail is called a splinter haemorrhage. Splinter haemorrhages are usually not harmful, but they can be a symptom of a type of cancer called subungual melanoma. They can also be caused by trauma, bacterial, fungal, or HIV infection, drug therapy, endocrine disorders, exogenous pigmentation, or excess melanin production within the nail matrix. If you notice changes in your nails, especially without an obvious cause, see a healthcare provider. Although gradual changes are often more harmless than sudden ones, a black line on your nail with no clear reason should still be checked. If the change happens suddenly, seek medical attention right away.
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Beau's lines
Although gradual changes to your nails are often more harmless than those that develop rapidly, a black line on your nail with no clear reason should still be checked by a healthcare provider. If the change happens suddenly, seek medical attention right away.
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Melanonychia
A narrow, vertical black line on your nail is called a splinter hemorrhage. These lines usually start in the nail bed and extend across the entire nail. They are often the result of melanonychia, but can also be caused by trauma or infection. If you notice any changes in your nails, especially if they appear suddenly or expand rapidly, it is important to seek medical attention.
It is important to note that not all black lines on the nails are caused by melanonychia. Horizontal stripes on the nail, known as Beau's lines, are usually not harmful. However, nail discoloration in the nail bed can be a symptom of a type of cancer called subungual melanoma. This type of cancer can cause the entire nail plate to darken or change colour, creating a single-colour band or one with varying shades of brown, black, blue, or grey.
If you notice any changes in your nails, especially without an obvious cause, it is important to see a healthcare provider. Although gradual changes are often more harmless than sudden ones, a black line on your nail with no clear reason should still be checked.
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Terry nails
A narrow, vertical black line on your nail is called a splinter haemorrhage. This is usually harmless, but it can be a sign of a more serious issue. A black line on your nail with no clear reason should be checked by a healthcare professional.
Melanonychia, which can cause vertical black lines on the nails, can be caused by nail trauma, vitamin B12, vitamin D, and protein deficiencies, cancer, too much iron, and other health conditions.
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Melanoma
A vertical black line on your nail is called a splinter haemorrhage. This is usually harmless, but it can be a symptom of subungual melanoma, a type of nail cancer. Melanonychia, which causes black or brown lines in your nail, can be due to increased melanin deposits in the nail or changes in nail pigmentation. It can also be caused by trauma, bacterial, fungal or HIV infection, drug therapy, endocrine disorders, exogenous pigmentation, or excess melanin production within the nail matrix. If you notice changes in your nails, especially without an obvious cause, see a healthcare provider. Although gradual changes are often more harmless than ones that develop rapidly, a black line on your nail with no clear reason should still be checked. If the change happens suddenly, seek medical attention right away.
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Frequently asked questions
They are called splinter hemorrhages.
They can be caused by trauma, bacterial, fungal, or HIV infection, drug therapy, endocrine disorders, exogenous pigmentation, or excess melanin production within the nail matrix.
They can be a symptom of nail cancer, but they can also be caused by benign conditions. If you notice changes in your nails, especially without an obvious cause, see a healthcare provider.








































