GLOMUS TUMOR WITH ASSOCIATED SUBUNGUAL WART ON HALLUX
Abstract
Glomus tumor is an uncommon mesenchymal tumor present in the reticular dermis, frequently located in the hands. We report a case of a woman, 51 years old, with a history of long-lasting changes in the appearance of the left hallux’s nail and intense local pain. After several treatments, being already diagnosed the subungual wart, glomus tumor was suspected, because of the suggestive symptoms and clinical tests. Surgery was performed, with histopathological confirmation of both hypotheses. The possible diagnosis is the sum of suggestive clinical history, clinical tests and imaging tests, but only confirmed by histopathology. The treatment is surgical, treating pain and preventing recurrence. The present case reports associated diagnoses (glomus tumor and subungual wart) culminating with the major changes in the appearance of the nail. This paper emphasizes the need to suspect the diagnostic of glomus tumor on cases of obscure pain in fingers or toes.
Downloads
References
Tumor Glômico (glomangiomas). In: Azulay RD, editor. Dermatologia. 5a ed.Rio de Janeiro: Guanabara Koogan; 2008.p. 227.
Netscher DT, Aburto J, Koepplinger M. Subungual Glomus Tumor. J Hand SurgAm. 2012; 37:821-3.
Vanti AA, Cuce LC, Chiacchio ND. Tumor glômico subungueal: estudo epidemiológico e retrospectivo, no período de 1991 a 2003. An Bras Dermatol. 2007; 82(5):425-31.
Polo C, Borda D, Poggio D, Asunción J, Peidro L. Glomus tumor of the hallux. Review of the literature and report of two cases. Foot Ankle Surg. 2012; 1889-93.
Baran R, Nakamura R. Doenças da Unha: do diagnóstico ao tratamento. 1ed. Rio de Janeiro: Guanabara-Koogan; 2011.
Chen S, Chen Y, Chen M, Yeow K, Chen H, Wei F. The use of ultrasonography in preoperative localization of digital glomus tumors. Plast Reconstr Surg. 2003; 112(1):115-9.
Giele H. Hildreth’s test is a reliable clinical sign for the diagnosis of glomus tumours. J Hand Surg. 2002; 27:157-8.
Takemura N, Fujii N, Tanaka T. Subungual glomus tumor diagnosis based on imaging. J Dermatol. 2006; 33:389-93.
All articles in this journal are Open Access under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).