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[Glomus tumour under the nail].

Karl O Nakken1, Lillian Nordbø Berge2, Geir D Slapø3

  • 1Spesialsykehuset for epilepsi, Oslo universitetssykehus.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|November 5, 2024
PubMed
Summary
This summary is machine-generated.

Glomus tumours are rare, benign growths causing significant thumb pain. Delayed diagnosis of this treatable condition can lead to chronic disability.

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Area of Science:

  • Oncology
  • Dermatology
  • Hand Surgery

Context:

  • Presents a case of a young female with persistent left thumb pain unresponsive to conservative treatment.
  • Initial misdiagnoses included common conditions like carpal tunnel syndrome and tennis elbow.
  • Symptoms were exacerbated by cold and pressure, characteristic of glomus tumour but initially overlooked.

Purpose:

  • To highlight the diagnostic challenges associated with glomus tumours.
  • To emphasize the importance of considering rare diagnoses in cases of unexplained chronic pain.
  • To illustrate the potential for delayed diagnosis to result in significant patient morbidity.

Summary:

  • A rare benign hypervascular lesion, glomus tumour, typically affects the subungual region.
  • The patient presented with symptoms mimicking other conditions, leading to a diagnostic delay.
  • Successful treatment is possible, but delayed diagnosis can cause long-term disability.

Impact:

  • Underscores the need for increased physician awareness of glomus tumours.
  • Demonstrates how a rare condition can cause prolonged suffering and disability if not promptly identified.
  • Emphasizes the importance of a thorough diagnostic workup for persistent, unexplained pain, especially in the extremities.