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The hand surgeon spotted the telltale bluish discoloration on Gardner’s fingernail that indicated a glomus tumor.

She had previously seen more than half a dozen specialists, several of whom thought she had a pinched nerve in her neck; all had missed the rare, exquisitely painful vascular growth under her fingernail called a glomus tumor.

Riemer said that her internist had never heard of a glomus tumor but referred her to a hand surgeon at Johns Hopkins Hospital.

Pensy has submitted a description of Gardner’s case, which he says may represent the longest undiagnosed glomus tumor on record, for publication in the New England Journal of Medicine.

Trauma aside, a bluish or bluish-red, painful, solitary lesion in a distal digit is a glomus tumor until proven otherwise.