Abstract

A glomus tumor is a rare benign neoplasia; which involves a thermoregulatory microvascular system, the glomus body. It is often found in the subungual tissue. Eccrine angiomatous Hamartoma (EAH) is a rare proliferation of vascular and eccrine structures. We present an original case by its location, clinical examination (pain is the main symptom with onycholysis) and its misleading appearance on MRI. The treatment consists of surgical excision of the tumor with good evolution. We will insist on the histological exam of the piece, which is the key to the diagnosis.

Highlights

  • Eccrine angiomatous hamartoma (EAH) is a rare, benign vascular and eccrine malformation

  • The term EAH was cited by Heyman et al [2] in 1968, but the disease was first described by Lotzbeck in 1859 as an angioma-like tumor on the cheek of a child, which is characterized by numerous eccrine glands and prominent blood vessels [3]

  • Almost a hundred cases have been reported in the literature [4], EAH usually presents at birth or during early childhood, but currently, it is seen more and more in adolescents and adults

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Summary

Introduction

Eccrine angiomatous hamartoma (EAH) is a rare, benign vascular and eccrine malformation. It can be congenital or appear later in childhood as solitary nodules or red, brown, bluish, purplish or even flesh-coloured plaques [1] the preferred location is extremities, face, trunk and scalp; it is usually asymptomatic but signs such as pain, focal hyperhidrosis and hypertrichosis are sometimes associated. We report a case of EAH with atypical presentation and localization.

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