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March 1, 1971

Fingertip Hyperesthesia Due to Scouring Pad

Author Affiliations


JAMA. 1971;215(9):1503. doi:10.1001/jama.1971.03180220083022

To the Editor.—  Often the introduction of a foreign object into the skin is an event well recognized and remembered by the patient. At other times the penetration is inapparent or disregarded and forgotten. In these latter instances the physician may be presented with the diagnostic problem of unexplained local tenderness. Even in the absence of one of the palpable painful growths, such as glomus tumor or leiomyoma, biopsy should be undertaken if sharply localized punctate sensitivity can be established. Such a procedure permitted recognition of silica from hair rollers as the cause of an obscure baffling fingertip hyperesthesia in one of our patients.1 An equally valuable and even simpler approach is x-ray film examination of the soft tissue. With current radiologic technique even glass fragments may be sharply outlined. Alertness and belief in the possibility of a radiopaque foreign object is most important since we recall one of