Glomus tumor history and symptoms: Difference between revisions

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==Symptoms==
==Symptoms==
*Symptoms of glomus tumour include:<ref>Glomangioma. Radiopedia. Accessed on January 12, 2016.  
*Symptoms of solitary glomus tumour include:<ref name=pl>Glomangioma. Radiopedia. http://radiopaedia.org/articles/glomangioma Accessed on January 12, 2016.</ref><ref name=kp>Glomus tumor. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1735996/ Accessed on January 12, 2016.</ref>
**Pain
**Pain
***Paroxysmal
***Paroxysmal
***Reproduced when the lesion is placed in cold water
***Reproduced when the lesion is placed in cold water
***Worse at night
***May worsen at night
***Disappears when a tourniquet is applied
***Disappears when a tourniquet is applied
They are often painful, and the pain is reproduced when the lesion is placed in cold water.
**Multiple glomus tumors are usually painless.


===Signs===
===Signs===
These tumors tend to have a bluish discoloration, although a white appearance is also noted. Elevation of the nail bed can occur
*These tumors tend to have a bluish discoloration, although a white appearance is also noted. Elevation of the nail bed can occur
*Physical examination of patients with glomus tumors is usually remarkable for the following:<ref name="pmid26715068">{{cite journal| author=Macharia C, Nthumba PM| title=Glomus tumor presenting as complex regional pain syndrome of the left upper limb: a case report. | journal=J Med Case Rep | year= 2015 | volume= 9 | issue= 1 | pages= 293 | pmid=26715068 | doi=10.1186/s13256-015-0793-3 | pmc=PMC4693409 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26715068  }} </ref>
 
 
{| style="border: 0px; font-size: 90%; margin: 3px; width:650px"
|valign=top|
|+
! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF|Test}}
! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF|Procedure}}
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Response}}
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Sensitivity}}
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Specificity}}
! style="background: #4479BA; width: 350px;" | {{fontcolor|#FFF|Accuracy}}
 
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align=center |
Love’s pin test
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*Pinhead pressure over tumor
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*Severe pain
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*100%
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*0%
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*78%
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" align=center|
Hildreth’s test
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*Tourniquet applied and Love’s test
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*No pain
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*71.4%
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*100%
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*78%
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" align=center |
Cold sensitivity test
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*Cold water over hand
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*Severe pain
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*100%
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*100%
| style="padding: 5px 5px; background: #F5F5F5;"  align=left|
*100%
|}


==References==
==References==

Revision as of 19:59, 12 January 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]

Overview

Symptoms of glomus tumor include hypersensitivity to cold and paroxysmal pain at a well defined site.[1]

History

  • A detailed history from the patient may be helpful. A positive history of trauma may be present.[2]
  • A positive family history may be present in patients with multiple glomus tumors (autosomal dominant).

Symptoms

  • Symptoms of solitary glomus tumour include:[3][4]
    • Pain
      • Paroxysmal
      • Reproduced when the lesion is placed in cold water
      • May worsen at night
      • Disappears when a tourniquet is applied
    • Multiple glomus tumors are usually painless.

Signs

  • These tumors tend to have a bluish discoloration, although a white appearance is also noted. Elevation of the nail bed can occur
  • Physical examination of patients with glomus tumors is usually remarkable for the following:[5]
Test Procedure Response Sensitivity Specificity Accuracy

Love’s pin test

  • Pinhead pressure over tumor
  • Severe pain
  • 100%
  • 0%
  • 78%

Hildreth’s test

  • Tourniquet applied and Love’s test
  • No pain
  • 71.4%
  • 100%
  • 78%

Cold sensitivity test

  • Cold water over hand
  • Severe pain
  • 100%
  • 100%
  • 100%

References

  1. ↑ Samaniego E, Crespo A, Sanz A (2009). "[Key diagnostic features and treatment of subungual glomus tumor]". Actas Dermosifiliogr. 100 (10): 875–82. PMID 20038364.
  2. ↑ Blanchard AJ (1941). "The Pathology of Glomus Tumours". Can Med Assoc J. 44 (4): 357–60. PMC 1827043. PMID 20322052.
  3. ↑ Glomangioma. Radiopedia. http://radiopaedia.org/articles/glomangioma Accessed on January 12, 2016.
  4. ↑ Glomus tumor. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1735996/ Accessed on January 12, 2016.
  5. ↑ Macharia C, Nthumba PM (2015). "Glomus tumor presenting as complex regional pain syndrome of the left upper limb: a case report". J Med Case Rep. 9 (1): 293. doi:10.1186/s13256-015-0793-3. PMC 4693409. PMID 26715068.


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