‣What is glomus tumor?Tumors of glomus body which is a perivascular temperature regulating structureIt is more like a harmatoma than a tumor‣Where do they occur?Occurs in places rich in glomus bodies - subungal regions, deep dermis, penis75% in hand, 50% in subungal‣What is the classic Clinical triad for glomus?Paroxysmal pain (sudden onset and brief)Exquisite tenderness to touchCold intolerance‣What clinical signs? Special tests?Small bluish noduleLove's pin test - using a pin head to apply pressure will produce severe painHildreth sign - pain relief following application of proximal tourniquet is pathognomonicCold sensitivity test - apply ice cube to affected area and patient will have increasing painhttps://pubmed.ncbi.nlm.nih.gov/12027491/‣What XR findings?Can produce pressure erosion of underlying bone‣What other investigation?MRI - low T1 and high T2 signal‣Management of glomus tumor?Marginal excision is curativeKIV reconstruction of nail bed
