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February 1992

Glomus Tumor of the Nail: A `Red Herring' Clarified by Magnetic Resonance Imaging

Author Affiliations

Emory University School of Medicine, Atlanta, Ga

Arch Dermatol. 1992;128(2):160-162. doi:10.1001/archderm.1992.01680120026001

REPORT OF A CASE  A 34-year-old artist was referred by her rheumatologist for a 9-year history of pain in the distal aspect of her right third finger. This complaint was presumed to be Raynaud's phenomenon. Her pain was interfering with her ability to draw and paint. Her history was unusual in that pain, not color change, was associated with cold temperatures. The pain could be relieved by warming her finger in her axilla. She had not responded to trials of diltiazem, prazosin, or other vasodilators.On physical examination, a longitudinal red streak was present in the middle portion of the nail bed of her right third finger, with pallor surrounding the streak (Fig 1). A mild, medial dystrophy of the distal nail plate was overlying the streak.A digital block was performed and the nail plate avulsed. The nail bed was examined for abnormalities and none were found. The location

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