Korean J Pain.  2013 Jul;26(3):295-298. 10.3344/kjp.2013.26.3.295.

Concomitant Glomus Tumor with CRPS in the Hand

• Jeong HJ
• Kim CM
• Yoon DM
• Yoon KB

• KMID: 2074032
• DOI: http://doi.org/10.3344/kjp.2013.26.3.295

Abstract

Glomus tumors are benign tumors that account for 1% to 5% of all soft tissue tumors of the hand and are characterized by a triad of sensitivity to cold, localized tenderness and severe paroxysmal pain. Paroxysmal pain is a symptom common not only in glomus tumors but also in CRPS, and the hand is one of the commonly affected sites in patients with both glomus tumors and CRPS. Therefore, it is not easy to clinically diagnose glomus tumors superimposed on already affected region of CRPS patients. We report a case of glomus tumor concomitantly originating with CRPS at the hand.

Keyword

complex regional pain syndrome; glomus tumor

MeSH Terms

Cold Temperature
Glomus Tumor
Hand
Humans

Figure

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  Fig. 1 The delayed bone image of 3-phase bone scan showing increased bone uptake in the left wrist and hand joints.

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  Fig. 2 Contrast enhanced T1 weighted images with fat suppression show 3 mm sized enhanced ovoid shaped mass at the radial side subungual region of the left 5th finger. (A) Saggital image, (B) Axial image.

Reference

1. Harden RN, Bruehl S, Stanton-Hicks M, Wilson PR. Proposed new diagnostic criteria for complex regional pain syndrome. Pain Med. 2007; 8:326–331. PMID: 17610454.

2. McDermott EM, Weiss AP. Glomus tumors. J Hand Surg Am. 2006; 31:1397–1400. PMID: 17027805.

3. Carroll RE, Berman AT. Glomus tumors of the hand: review of the literature and report on twenty-eight cases. J Bone Joint Surg Am. 1972; 54:691–703. PMID: 4341268.

4. Gombos Z, Zhang PJ. Glomus tumor. Arch Pathol Lab Med. 2008; 132:1448–1452. PMID: 18788860.

5. Nazerani S, Motamedi MH, Keramati MR. Diagnosis and management of glomus tumors of the hand. Tech Hand Up Extrem Surg. 2010; 14:8–13. PMID: 20216046.

6. Vandenberghe L, De Smet L. Subungual glomus tumours: a technical tip towards diagnosis on plain radiographs. Acta Orthop Belg. 2010; 76:396–397. PMID: 20698463.

7. Glazebrook KN, Laundre BJ, Schiefer TK, Inwards CY. Imaging features of glomus tumors. Skeletal Radiol. 2011; 40:855–862. PMID: 21104079.

8. Goebel A. Complex regional pain syndrome in adults. Rheumatology (Oxford). 2011; 50:1739–1750. PMID: 21712368.

9. de Mos M, de Bruijn AG, Huygen FJ, Dieleman JP, Stricker BH, Sturkenboom MC. The incidence of complex regional pain syndrome: a population-based study. Pain. 2007; 129:12–20. PMID: 17084977.

10. Drummond PD. Sensory disturbances in complex regional pain syndrome: clinical observations, autonomic interactions, and possible mechanisms. Pain Med. 2010; 11:1257–1266. PMID: 20704674.

11. Sethna NF, Meier PM, Zurakowski D, Berde CB. Cutaneous sensory abnormalities in children and adolescents with complex regional pain syndromes. Pain. 2007; 131:153–161. PMID: 17329025.

12. Asaad B, Glass P. Perioperative management for patients with complex regional pain syndrome. Pain Manag. 2012; 2:561–567.