Glomus tumor physical examination: Difference between revisions

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__NOTOC__
__NOTOC__
{{Glomus tumor}}
{{Glomus tumor}}
{{CMG}}; {{AE}} {{JH}}{{STM}}
{{CMG}}; {{AE}} {{JH}}{{STM}}


==Overview==
==Overview==
Patients with glomus tumor usually appear well. Physical examination of patients with glomus tumor is usually remarkable for small (usually less than 2cm), blue or red palpable nodules which are usually distributed in the acral regions (subungual most common) and nail deformities.<ref name="pmid8732413">{{cite journal| author=Van Geertruyden J, Lorea P, Goldschmidt D, de Fontaine S, Schuind F, Kinnen L et al.| title=Glomus tumours of the hand. A retrospective study of 51 cases. | journal=J Hand Surg Br | year= 1996 | volume= 21 | issue= 2 | pages= 257-60 | pmid=8732413 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8732413  }} </ref>
Patients with glomus tumor usually appear well. [[Physical examination]] of patients with glomus [[tumor]] is usually remarkable for small (usually less than 2cm), blue or red palpable [[nodules]] which are usually distributed in the acral regions (subungual most common) and [[nail]] deformities.
    
    
==Physical examination==
==Physical examination==
*Physical examination of patients with a glomus tumor is usually remarkable for the following findings:<ref name="pmid8732413">{{cite journal| author=Van Geertruyden J, Lorea P, Goldschmidt D, de Fontaine S, Schuind F, Kinnen L et al.| title=Glomus tumours of the hand. A retrospective study of 51 cases. | journal=J Hand Surg Br | year= 1996 | volume= 21 | issue= 2 | pages= 257-60 | pmid=8732413 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8732413  }} </ref>  
*[[Physical examination]] of patients with a glomus tumor is usually remarkable for the following findings:<ref name="pmid8732413">{{cite journal| author=Van Geertruyden J, Lorea P, Goldschmidt D, de Fontaine S, Schuind F, Kinnen L et al.| title=Glomus tumours of the hand. A retrospective study of 51 cases. | journal=J Hand Surg Br | year= 1996 | volume= 21 | issue= 2 | pages= 257-60 | pmid=8732413 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8732413  }} </ref>  
**Nail deformity
**[[Nail]] deformity
**Blue discoloration
**Blue-red discoloration
**Palpable nodule
**Pink or purple vascular [[papule]] or [[nodule]]
**[[Tenderness]]
*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><ref name="pmid12027491">{{cite journal| author=Giele H| title=Hildreth's test is a reliable clinical sign for the diagnosis of glomus tumours. | journal=J Hand Surg Br | year= 2002 | volume= 27 | issue= 2 | pages= 157-8 | pmid=12027491 | doi=10.1054/jhsb.2001.0724 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12027491  }} </ref>
*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><ref name="pmid12027491">{{cite journal| author=Giele H| title=Hildreth's test is a reliable clinical sign for the diagnosis of glomus tumours. | journal=J Hand Surg Br | year= 2002 | volume= 27 | issue= 2 | pages= 157-8 | pmid=12027491 | doi=10.1054/jhsb.2001.0724 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12027491  }} </ref>


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| valign="top" |
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|-
|-
| style="padding: 10px 5px; background: #DCDCDC; font-weight: bold" align=center |
| style="padding: 10px 5px; background: #DCDCDC; font-weight: bold" align="center" |
Love’s pin test
Love’s pin test
| style="padding: 5px 5px; background: #F5F5F5;" align=left|
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Pinhead pressure over tumor
*Pinhead pressure over tumor
| style="padding: 5px 5px; background: #F5F5F5;" align=left|
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Severe pain
*Severe pain
| style="padding: 5px 5px; background: #F5F5F5;" align=left|
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*100%
*100%
| style="padding: 5px 5px; background: #F5F5F5;" align=left|
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*0%
*0%
| style="padding: 5px 5px; background: #F5F5F5;" align=left|
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*78%
*78%
|-
|-
| style="padding: 10px 5px; background: #DCDCDC;font-weight: bold" align=center|
| style="padding: 10px 5px; background: #DCDCDC;font-weight: bold" align="center" |
Hildreth’s test
Hildreth’s test
| style="padding: 5px 5px; background: #F5F5F5;" align=left|
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Tourniquet applied and Love’s test
*[[Tourniquet]] applied and Love’s test
| style="padding: 5px 5px; background: #F5F5F5;" align=left|
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*No pain
*No pain
| style="padding: 5px 5px; background: #F5F5F5;" align=left|
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*71.4%
*71.4%
| style="padding: 5px 5px; background: #F5F5F5;" align=left|
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*100%
*100%
| style="padding: 5px 5px; background: #F5F5F5;" align=left|
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*78%
*78%
|-
|-
| style="padding: 15px 30px; background: #DCDCDC; font-weight: bold" align=center |
| style="padding: 15px 30px; background: #DCDCDC; font-weight: bold" align="center" |
Cold sensitivity test
Cold sensitivity test
| style="padding: 5px 5px; background: #F5F5F5;" align=left|
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Cold water over hand
*Cold water over hand
| style="padding: 5px 5px; background: #F5F5F5;" align=left|
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*Severe pain
*Severe pain
| style="padding: 5px 5px; background: #F5F5F5;" align=left|
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*100%
*100%
| style="padding: 5px 5px; background: #F5F5F5;" align=left|
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*100%
*100%
| style="padding: 5px 5px; background: #F5F5F5;" align=left|
| style="padding: 5px 5px; background: #F5F5F5;" align="left" |
*100%
*100%
|}
|}
===Gallery===
====Extremities====
<gallery>
Image: Glomus_tumor_01.jpeg|Glomus tumor. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=165>
Image: Glomus_tumor_02.jpeg|Glomus tumor. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=165>
Image: Glomus_tumor_03.jpeg|Glomus tumor. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=165>
Image: Glomus_tumor_04.jpeg|Glomus tumor. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=165>
</gallery>


== References ==
== References ==

Latest revision as of 18:05, 29 July 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]Soujanya Thummathati, MBBS [3]

Overview

Patients with glomus tumor usually appear well. Physical examination of patients with glomus tumor is usually remarkable for small (usually less than 2cm), blue or red palpable nodules which are usually distributed in the acral regions (subungual most common) and nail deformities.

Physical examination

  • Physical examination of patients with a glomus tumor is usually remarkable for the following findings:[1]
  • Physical examination of patients with glomus tumors is usually remarkable for the following:[2][3]
Test Procedure Response Sensitivity Specificity Accuracy

Love’s pin test

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

Hildreth’s test

  • No pain
  • 71.4%
  • 100%
  • 78%

Cold sensitivity test

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

References

  1. ↑ Van Geertruyden J, Lorea P, Goldschmidt D, de Fontaine S, Schuind F, Kinnen L; et al. (1996). "Glomus tumours of the hand. A retrospective study of 51 cases". J Hand Surg Br. 21 (2): 257–60. PMID 8732413.
  2. ↑ 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.
  3. ↑ Giele H (2002). "Hildreth's test is a reliable clinical sign for the diagnosis of glomus tumours". J Hand Surg Br. 27 (2): 157–8. doi:10.1054/jhsb.2001.0724. PMID 12027491.
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