|Year : 2015 | Volume
| Issue : 2 | Page : 354-355
Consultant General Surgeon, Madurai Medical College, Madurai, Tamil Nadu, India
|Date of Web Publication||16-Dec-2015|
Consultant General Surgeon, Madurai Medical College, Madurai, Tamil Nadu
Source of Support: None, Conflict of Interest: None
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.  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.  However, surgical trauma itself may stimulate calcification and recurrences are not uncommon. 
| References|| |
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.
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].
[Figure 1], [Figure 2]