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TEACHING IMAGES |
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Year : 2015 | Volume
: 3
| Issue : 2 | Page : 354-355 |
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Calcinosis cutis
Nawaz Usman
Consultant General Surgeon, Madurai Medical College, Madurai, Tamil Nadu, India
Date of Web Publication | 16-Dec-2015 |
Correspondence Address: Nawaz Usman Consultant General Surgeon, Madurai Medical College, Madurai, Tamil Nadu India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2321-4848.171949
Calcinosis cutis is a condition of accumulation of calcium salts within the dermis. The clinco-radiologic features of a 60 year old lady with idiopathic calcinosis cutis is reported. Emphasis on appropriate laboratory workup is crucial once the diagnosis of calcinosis cutis is established.
Keywords: Calcinosis cutis, dystrophic calcinosis, metastatic calcinosis
How to cite this article: Usman N. Calcinosis cutis. Arch Med Health Sci 2015;3:354-5 |
Case Report | |  |
A 60-year-old lady presented to the surgical out-patient department (OPD) with a history of a mildly painful swelling in the right gluteal region since 8 years. Clinical examination revealed a non tender hard irregular mass of about 8 × 5 cm arising from the skin over the lateral aspect of the right gluteal region [Figure 1]. X-ray of the local part revealed irregular calcifications [Figure 2]. Blood workup for calcium and phosphorus were normal and malignant disorders, collagen vascular diseases, renal insufficiency, excessive milk ingestion, vitamin D intoxication were excluded by relevant investigations. A working diagnosis of idiopathic calcinosis cutis was made. The lesion was excised locally as per the patient's request and a split skin graft was used to cover the defect.
Discussion | |  |
Calcinosis cutis is characterized by deposition of calcium in the skin. It can be of four types: dystrophic, metastatic, idiopathic, and iatrogenic. [1] Following clinical diagnosis of calcinosis cutis, a thorough laboratory workup must be carried out to detect the underlying cause. Excision of the lesion is recommended as it provides successful resolution and establishes the diagnosis. [2] However, surgical trauma itself may stimulate calcification and recurrences are not uncommon. [3]
References | |  |
1. | Reiter N, El-Sharbawi L, Leinweber B, Berghold A, Aberer E. Calcinosis cutis. Part I: Diagnostic pathway. J Am Acad Dermatol 2011;65:1-12. |
2. | Gupta V S K, Balaga R R, Banik S K. Idiopathic Calcinosis cutis over elbow in a 12-year old child. Case reports in orthopedics. Vol. 2013, Article ID 241891, 4 pages, Available from: http://dx.doi.org/10.1155/2013/241891 [Last accessed on 2014 Mar 18]. |
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[Figure 1], [Figure 2]
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