Generic selectors
Exact matches only
Search in title
Search in content
Search in posts
Search in pages
Filter by Categories
15th National Conference of the IAOMFP, Chennai, 2006
Abstract
Abstracts from current literature
Acne in India: Guidelines for management - IAA Consensus Document
Addendum
Announcement
Art & Psychiatry
Article
Articles
Association Activities
Association Notes
Award Article
Book Review
Brief Report
Case Analysis
Case Letter
Case Letters
Case Notes
Case Report
Case Reports
Clinical and Laboratory Investigations
Clinical Article
Clinical Studies
Clinical Study
Commentary
Conference Oration
Conference Summary
Continuing Medical Education
Correspondence
Corrigendum
Cosmetic Dermatology
Cosmetology
Current Best Evidence
Current View
Derma Quest
Dermato Surgery
Dermatopathology
Dermatosurgery Specials
Dispensing Pearl
Do you know?
Drug Dialogues
e-IJDVL
Editor Speaks
Editorial
Editorial Remarks
Editorial Report
Editorial Report - 2007
Editorial report for 2004-2005
Errata
Erratum
Focus
Fourth All India Conference Programme
From Our Book Shelf
From the Desk of Chief Editor
General
Get Set for Net
Get set for the net
Guest Article
Guest Editorial
History
How I Manage?
IADVL Announcement
IADVL Announcements
IJDVL Awards
IJDVL AWARDS 2015
IJDVL Awards 2018
IJDVL Awards 2019
IJDVL Awards 2020
IJDVL International Awards 2018
Images in Clinical Practice
In Memorium
Inaugural Address
Index
Knowledge From World Contemporaries
Leprosy Section
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Case Letter
Letter to the Editor - Letter in Response to Published Article
LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES
Letter to the Editor - Observation Letter
Letter to the Editor - Study Letter
Letter to the Editor - Therapy Letter
Letter to the Editor: Articles in Response to Previously Published Articles
Letters to the Editor
Letters to the Editor - Letter in Response to Previously Published Articles
Letters to the Editor: Case Letters
Letters to the Editor: Letters in Response to Previously Published Articles
Medicolegal Window
Messages
Miscellaneous Letter
Musings
Net Case
Net case report
Net Image
Net Letter
Net Quiz
Net Study
New Preparations
News
News & Views
Obituary
Observation Letter
Observation Letters
Oration
Original Article
ORIGINAL CONTRIBUTION
Original Contributions
Pattern of Skin Diseases
Pearls
Pediatric Dermatology
Pediatric Rounds
Perspective
Presedential Address
Presidential Address
Presidents Remarks
Quiz
Recommendations
Regret
Report
Report of chief editor
Report of Hon : Treasurer IADVL
Report of Hon. General Secretary IADVL
Research Methdology
Research Methodology
Resident page
Resident's Page
Resident’s Page
Residents' Corner
Residents' Corner
Retraction
Review
Review Article
Review Articles
Revision Corner
Self Assessment Programme
SEMINAR
Seminar: Chronic Arsenicosis in India
Seminar: HIV Infection
Short Communication
Short Communications
Short Report
Special Article
Specialty Interface
Studies
Study Letter
Supplement-Photoprotection
Supplement-Psoriasis
Symposium - Contact Dermatitis
Symposium - Lasers
Symposium - Pediatric Dermatoses
Symposium - Psoriasis
Symposium - Vesicobullous Disorders
SYMPOSIUM - VITILIGO
Symposium Aesthetic Surgery
Symposium Dermatopathology
Symposium-Hair Disorders
Symposium-Nails Part I
Symposium-Nails-Part II
Tables
Technology
Therapeutic Guidelines
Therapeutic Guidelines - IADVL
Therapeutics
Therapy
Therapy Letter
View Point
Viewpoint
What’s new in Dermatology
View/Download PDF
Images in Clinical Practice
2009:75:2;180-181
doi: 10.4103/0378-6323.48667
PMID: 19293509

Calcinosis cutis on the face

Tuba Celebi Kayhan1 , Peyker Temiz2 , Aylin Turel Ermertcan1
1 Department of Dermatology, Celal Bayar University, Faculty of Medicine, Manisa, Turkey
2 Department of Pathology, Celal Bayar University, Faculty of Medicine, Manisa, Turkey

Correspondence Address:
Aylin Turel Ermertcan
Celal Bayar niversitesi T?p Fakltesi, Dermatoloji Anabilim Dal?, 45010 Manisa
Turkey
How to cite this article:
Kayhan TC, Temiz P, Ermertcan AT. Calcinosis cutis on the face. Indian J Dermatol Venereol Leprol 2009;75:180-181
Copyright: (C)2009 Indian Journal of Dermatology, Venereology, and Leprology

A 46-year-old male patient came to our outpatient clinic with a white lesion on his right cheek. He explained that this lesion occured approximately 25 years ago. There was no family history of similar lesion. Dermatological examination revealed white plaque with an irregular surface 0.5 cm x 1 cm in size on his right cheek, which seemed to be whitewashed [Figure - 1]. Skin biopsy was performed from the lesion. Histopathological examination of the specimen revealed calcium deposits in the dermis [Figure - 2]. We diagnosed the patient as calcinosis cutis. Laboratory investigations revealed normal calcium and phosphate levels. Other laboratory tests for systemic diseases were also in normal ranges.

Calcinosis cutis is a term used to describe a group of disorders in which calcium deposits form in the skin. In general, multiple, firm, whitish dermal papules, nodules or subcutaneous nodules are found. There are many classifications of the disease but commonly calcinosis cutis is divided into four groups: dystrophic, metastatic, iatrogenic and idiopathic. The dystrophic form is the most commonly described, whereas the idiopathic is the rarest. Dystrophic calcinosis includes those conditions in which calcification occurs in the damaged tissue. Various conditions can cause dystrophic calcinosis, including connective tissue disease, infection, inflammatory processes, chronic venous stasis, cutaneous neoplasm and trauma. This may be localized (calcinosis circumscripta) or widespread (calcinosis universalis). Metastatic calcification refers to deposition of calcium resulting from elevated serum levels of calcium or phosphorus. It is often associated with bone loss or destruction, the bone providing the source of the elevated serum calcium. Conditions associated with metastatic calcinosis include parathyroid neoplasms, primary hyperparathyroidism, hypervitaminosis D, sarcoidosis and extensive intake of milk and alkali. The most common metabolic condition associated with metastatic calcification is renal failure. Iatrogenic and traumatic calcinosis is associated with medical procedures or occupational exposures that may involve both tissue damage and local elevated calcium concentrations. Idiopathic calcinosis cutis refers to those forms of cutaneous calcification of unknown cause with normal serum calcium. Idiopathic scrotal calcinosis, subepidermal calcified nodule and tumoral calcinosis are idiopathic forms of calcification. Subepidermal calcified nodule is an uncommon but distinct type of idiopathic calcinosis. It occurs more commonly in children and can be present at birth. Clinical presentation generally consists of a single, white-yellowish small papule but multiple lesions can be seen less often. Most lesions occur on the face. According to some writers, calcinosis circumscripta are found in generalized scleroderma or dermatomyositis, but it may rarely occur as an idiopathic disorder.

Our patient had no history of trauma and his lesion had occurred in childhood. His laboratory investigations revealed normal calcium and phosphate levels. Although our patient was mimicking idiopathic calcinosis cutis due to his history, clinical appearance of the lesion did not resemble any type of calcinosis cutis.

Our case is very rare and interesting, with its unique clinical presentation. We suggest that calcinosis cutis should be kept in mind while thinking of non-specific and asymptomatic white plaque on the face, the classification of which may be looked over otherwise.


Fulltext Views
169

PDF downloads
27
Show Sections