Korean Lepr Bull.  2018 Dec;51(1):29-34. 10.33161/klb.2018.51.1.29.

Two cases of calcinosis cutis treated with surgical excision

• Park HJ
• Kim JP
• Ahn SY

• KMID: 2429661
• DOI: http://doi.org/10.33161/klb.2018.51.1.29

Abstract

Calcinosis cutis is an uncommon disorder and defined as the deposit of insoluble calcium salts in the skin. It is classified as dystrophic, metastatic, idiopathic, and iatrogenic according to etiology. The dystrophic type is the most common and occurs in the previously damaged tissue, including connective tissue diseases, panniculitis, inherited disorders, benign and malignant tumors, a variety of scarring caused by burn, radiation, trauma, surgery, and keloid. Treatment options are limited. Whereas medical therapy is usually not very effective, surgical intervention has shown to be beneficial and is indicated when painful masses, recurrent infection, ulcerations, functional impairment, and cosmetic concerns exist. Herein, we report two cases of dystrophic calcinosis cutis associated with longstanding, painful, ulcerated cutaneous lesions in the extremities successfully treated with surgical excision.

Keyword

Calcinosis cutis; Dystrophic; Surgical excision

MeSH Terms

Burns
Calcinosis*
Calcium
Cicatrix
Connective Tissue Diseases
Extremities
Keloid
Panniculitis
Salts
Skin
Ulcer
Calcium
Salts

Figure

• 

  Fig. 1 Case 1(prior treatment). (A) An erythematous tender subcutaneous nodule in the forearm (B) A large plaque with focal ulcerations in the shin (C) Radio-opaque lesion(arrow) was observed on x-ray (D) Amorphous deposits of basophilic material in the dermis (arm, H&E, ×40) (E) Calcification and metaplastic ossification in severely degenerated tissue (shin, H&E, ×100)

• 

  Fig. 2 Postoperative 5weeks appearance in the arm (A) and the shin (B) in case 1.

• 

  Fig. 3 Case 2. (A) A large erythematous nodule with a central ulceration in the shin (B) Calcification in the degerated tissue (H&E, ×100) (C) Postoperative 2 weeks appearance showing good take of skin graft

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