The patient is a healthy librarian who noticed a reddish area under the left thumb nail ~ 3 months ago. Shortly after that, the distal portion of the nail become yellowish. She has not history of trauma and the area is not painful
O/E: There is erythema noted medically in the nail bed and the nail plate is onycholytic. No abnormality of the nail plate is noted other than the yellowish area and possibly a Beau's line. The patient feels that the red area has migrated medially.
Clinical Image:
My thoughts: I am concerned that there may be a tumor under the nail plate. The fact that it is painless argues against glomus tumor. I welcome suggestions.
Thank you,
DJE
No comments:
Post a Comment
We welcome your comments. We endeavor to serve your patients and you. If you want us to respond, please add your name and email address. Some people have trouble uploading comments. In that case, please send comments directly to djelpern@gmail.com. Thank you.