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Unilateral lower limb atrophy associated with glomus tumors: a case report
BACKGROUND: Glomus tumors are soft tissue neoplasms comprised of glomus cells, vasculature, and smooth muscle cells, which occur commonly in a single subungual area of the digits, and their main clinical features include severe paroxysmal pain, localized tenderness, and cold hypersensitivity. CASE P...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7805226/ https://www.ncbi.nlm.nih.gov/pubmed/33436045 http://dx.doi.org/10.1186/s13256-020-02616-1 |
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author | Akechi, Yuji Miura, Shiroh Ochi, Masayuki Enoki, Moe Matsuda, Takuya Kitazawa, Riko Fujibuchi, Taketsugu Ochi, Hirofumi Igase, Michiya Ohyagi, Yasumasa |
author_facet | Akechi, Yuji Miura, Shiroh Ochi, Masayuki Enoki, Moe Matsuda, Takuya Kitazawa, Riko Fujibuchi, Taketsugu Ochi, Hirofumi Igase, Michiya Ohyagi, Yasumasa |
author_sort | Akechi, Yuji |
collection | PubMed |
description | BACKGROUND: Glomus tumors are soft tissue neoplasms comprised of glomus cells, vasculature, and smooth muscle cells, which occur commonly in a single subungual area of the digits, and their main clinical features include severe paroxysmal pain, localized tenderness, and cold hypersensitivity. CASE PRESENTATION: A 47-year-old Japanese man had suffered from chronic progressive paroxysmal shooting pain in his right leg since childhood. He avoided putting weight on his right foot whenever he walked. The frequency of paroxysmal pain and the number of tender points both gradually increased with age, and his right leg gradually atrophied. Magnetic resonance imaging of the lower extremity demonstrated multiple gadolinium-enhanced nodules that corresponded with his tender points. Excisional biopsy relieved his pain and provided a histopathological diagnosis of glomus tumors. CONCLUSION: This case suggests that small glomus tumors located in deep tissue may cause disuse atrophy because of their long delay before diagnosis. Clinicians should consider the potential for glomus tumors when patients exhibit unilateral lower limb muscular atrophy with pain. |
format | Online Article Text |
id | pubmed-7805226 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-78052262021-01-14 Unilateral lower limb atrophy associated with glomus tumors: a case report Akechi, Yuji Miura, Shiroh Ochi, Masayuki Enoki, Moe Matsuda, Takuya Kitazawa, Riko Fujibuchi, Taketsugu Ochi, Hirofumi Igase, Michiya Ohyagi, Yasumasa J Med Case Rep Case Report BACKGROUND: Glomus tumors are soft tissue neoplasms comprised of glomus cells, vasculature, and smooth muscle cells, which occur commonly in a single subungual area of the digits, and their main clinical features include severe paroxysmal pain, localized tenderness, and cold hypersensitivity. CASE PRESENTATION: A 47-year-old Japanese man had suffered from chronic progressive paroxysmal shooting pain in his right leg since childhood. He avoided putting weight on his right foot whenever he walked. The frequency of paroxysmal pain and the number of tender points both gradually increased with age, and his right leg gradually atrophied. Magnetic resonance imaging of the lower extremity demonstrated multiple gadolinium-enhanced nodules that corresponded with his tender points. Excisional biopsy relieved his pain and provided a histopathological diagnosis of glomus tumors. CONCLUSION: This case suggests that small glomus tumors located in deep tissue may cause disuse atrophy because of their long delay before diagnosis. Clinicians should consider the potential for glomus tumors when patients exhibit unilateral lower limb muscular atrophy with pain. BioMed Central 2021-01-13 /pmc/articles/PMC7805226/ /pubmed/33436045 http://dx.doi.org/10.1186/s13256-020-02616-1 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Akechi, Yuji Miura, Shiroh Ochi, Masayuki Enoki, Moe Matsuda, Takuya Kitazawa, Riko Fujibuchi, Taketsugu Ochi, Hirofumi Igase, Michiya Ohyagi, Yasumasa Unilateral lower limb atrophy associated with glomus tumors: a case report |
title | Unilateral lower limb atrophy associated with glomus tumors: a case report |
title_full | Unilateral lower limb atrophy associated with glomus tumors: a case report |
title_fullStr | Unilateral lower limb atrophy associated with glomus tumors: a case report |
title_full_unstemmed | Unilateral lower limb atrophy associated with glomus tumors: a case report |
title_short | Unilateral lower limb atrophy associated with glomus tumors: a case report |
title_sort | unilateral lower limb atrophy associated with glomus tumors: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7805226/ https://www.ncbi.nlm.nih.gov/pubmed/33436045 http://dx.doi.org/10.1186/s13256-020-02616-1 |
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