Table 13.

Guideline Recommendations for glomus tumours of the digits.

Glomus tumours of the digits
No	Recommendations	Strength
1	Glomus tumours of the digits are easily missed and therefore clinical suspicion is essential to make a diagnosis of glomus tumours of the digits. Clinical diagnosis should be based on patient reported typical symptoms (see recommendation 2) and on visual examination of the nail beds and palpation.	moderate
2	The majority of people will have at least two of the following symptoms: localised tenderness, severe paroxysmal (lancinating, similar to being hit on the nailbed) pain and sensitivity to cold. Visual inspection may show purplish discolouring of the nailbed.	moderate
3	Glomus tumours of the digits occur mostly in adulthood, but should also be considered in children/adolescents with typical symptoms.	weak
4	Surgical excision should be considered for painful glomus tumours of the digits.	moderate