TY - JOUR T1 - Lesson of the month 1: Splinter haemorrhages as a pointer to gastrointestinal malignancy JF - Clinical Medicine JO - Clin Med SP - 199 LP - 200 DO - 10.7861/clinmedicine.16-2-199 VL - 16 IS - 2 AU - Cositha Santhakumar AU - Chantal Faddoul AU - Russell Barker AU - Rochelle Facer AU - Sandhya Limaye Y1 - 2016/04/01 UR - http://www.rcpjournals.org/content/16/2/199.abstract N2 - A 58-year-old man was referred for review due to the finding of splinter haemorrhages and digital infarcts. Further questioning revealed a history of unintentional weight loss and calf pain. There were no other clinical features of endocarditis, and no clear cause for the splinter haemorrhages on initial investigations. The discovery of widespread thromboembolic disease prompted a search for malignancy and an eventual diagnosis of oesophageal adenocarcinoma. Splinter haemorrhages resolved with anticoagulation and directed treatment of the underlying malignancy. This case report reminds clinicians of the potentially broad differential diagnosis associated with this clinical sign. ER -