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A 49-Year-Old Woman Notes the Onset of a Painful Reddish-Blue Discoloration Under One Fingernail

By Ted Rosen, MD | June 25, 2012
Professor of Dermatology at Baylor College of Medicine; Chief of Dermatology at Michael E. DeBakey VA Medical Center

A 49-year-old African-American woman noted the gradual onset of reddish-blue discoloration under one fingernail. There was both spontaneous pain and exquisite tenderness to palpation. Discomfort was both elicited and worsened when the patient washed her hands with cold water or touched cans or packages from the refrigerator or freezer. The patient was ostensibly in good health, took no medications, and was a nonsmoker and nondrinker.

This phenomenon most likely represents:
A. Benign glomus tumor
B. Malignant glomus tumor
C. Metastatic angiosarcoma
D. Metastatic ovarian adenocarcinoma
E. Helicobacter infection of the nail bed

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Related Articles

A 49-Year-Old Woman Notes the Onset of a Painful Reddish-Blue Discoloration Under One Fingernail

Chronic Shoulder Pain and Fingernail Clubbing in a Middle-Aged Man

Glomus Tumor (Glomangioma and Nonchromaffin Paraganglioma)






 
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