On glomus tumors, warts, and razors.
BACKGROUND
Occam's razor encourages ascribing a set of clinical findings to a single diagnosis.


OBJECTIVE
To present a patient with a subungual wart and a glomus tumor of the same nail unit and to review the literature regarding these conditions.


METHODS
We describe a 58-year-old female with a 2-year history of nail dystrophy and related symptoms that were initially attributed to verruca but recalcitrant to extensive therapies.


RESULTS
Ultimately the persistence of her symptoms was found to be secondary to a subungual glomus tumor.


CONCLUSIONS
Clinicians must maintain a high index of suspicion for the presence of multiple diagnoses to prevent the delay of appropriate management, particularly when symptoms do not respond to initial treatment.
Garman
Mary E
ME
Baylor College of Medicine, Department of Dermatology, Houston, Texas 77030, USA.
Orengo
Ida F
IF
Netscher
David
D
Schwartz
Mary R
MR
Rosen
Ted
T
D005260:Female; D005918:Glomus Tumor / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D009260:Nail Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D012878:Skin Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D017211:Treatment Failure; D014860:Warts / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy