The skin biopsy specimen revealed irregular vascular spaces and anastomoses surrounded by a proliferation of glomus cells, which have an eosinophilic cytoplasm, rounded or sometimes pleomorphic nuclei with dense chromatin, and some evident nucleoli. The findings of a complete blood cell count, liver function tests, a fecal occult blood test, and upper gastrointestinal endoscopy were normal. Ultrasonography and computed tomography of the patient’s abdomen revealed a hepatic cyst in the right lobe. The painful lesions and the hepatic cyst were surgically excised. The procedures reduced the patient’s abdominal pain and improved her quality of life.
Bluish Nodules on the Trunk and Arms—Diagnosis. Arch Dermatol. 2005;141(12):1595-1600. doi:10.1001/archderm.141.12.1595-g