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On glomus tumors, warts, and razors
Mary E Garman1, Ida F Orengo, David Netscher
1Baylor College of Medicine, Department of Dermatology, Houston, Texas 77030, USA.
Background:
Occam's razor encourages ascribing a set of clinical findings to a single diagnosis.
Objective:
To present a patient with a subungual wart and a glomus tumor of the same nail unit and to review the literature regarding these conditions.
Methods:
We describe a 58-year-old female with a 2-year history of nail dystrophy and related symptoms that were initially attributed to verruca but recalcitrant to extensive therapies.
Results:
Ultimately the persistence of her symptoms was found to be secondary to a subungual glomus tumor.
Conclusion:
Clinicians must maintain a high index of suspicion for the presence of multiple diagnoses to prevent the delay of appropriate management, particularly when symptoms do not respond to initial treatment.
