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1临床资料例1女,24岁。左手食指甲根部疼痛10余年。10余年前,患者左手食指甲根部出现自发的阵发性疼痛,每次持续约10min,严重时可向手臂放射。近年来手指疼痛发作频繁,接触冷水可诱发疼痛。皮肤科情况:左手食指甲板及3～4mm的甲纵脊和甲廓后2mm处绿豆大淡红色皮下结节,压痛明显。压之可诱发疼痛,疼痛向全上肢放射。压痛点可用大头针尾探及。手部X线检查示左手食指末端骨质改变。组织病理示血管球瘤(图1)。
1 clinical data 1 female, 24 years old. Left forefinger root pain more than 10 years. More than 10 years ago, patients with spontaneous paroxysmal pain in the left forefinger root, each lasting about 10min, severe arm radiation. In recent years, frequent finger pain episodes, contact with cold water can induce pain. Dermatology: left index finger decks and 3 ~ 4mm A longitudinal ridge and a 2mm at the vermilion after a large light red subcutaneous nodules, tenderness significantly. Pressure can induce pain, pain, upper extremity radiation. Tender point can be pin probing and. X-ray examination showed the left hand index finger distal bone changes. Histopathology showed glomus tumors (Figure 1).