Case of the Month with Crutchfield Dermatology

Monday, June 30, 2014

What is your diagnosis?

Presentation: Woman with Extremely Tender Nodule on Finger

A 40-year old woman presents with a nodule that appeared four years ago and has gradually enlarged. It is located near the nail fold above the nail matrix. Two years ago, she noticed the lesion was distorting the nail plate. She has no similar lesions. In certain lighting situations, the lesion has a blue tint. The lesion is extremely painful with light to moderate pressure — sometimes without any at all. The lesion also becomes painful if the finger is immersed in cold water, as was done in our office.

Diagnosis: Glomus Tumor

This is also known as a glomangioma. It is a benign tumor of a vasculo-muscular/thermoregulatory apparatus commonly found in the hands. There are other versions in which multiple lesions occur but are not as painful.

A hand surgeon successfully removed the lesion surgically. The patient’s nail plate improved but still had a minor deformity.

For more information, contact Charles E. Crutchfield III, MD, at Crutchfield Dermatology or visit