Two cases of calcinosis cutis treated with surgical excision

Hyang-Joon Park; Jong-Pill Kim; Sung-Yul Ahn

doi:10.33161/klb.2018.51.1.29

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Park, Kim, and Ahn: Two cases of calcinosis cutis treated with surgical excision

Case Report

Korean Leprosy Bulletin 2018; 51(1): 29-34.

Published online: 20 December 2018

DOI: https://doi.org/10.33161/klb.2018.51.1.29

Two cases of calcinosis cutis treated with surgical excision

Hyang-Joon Park¹, Jong-Pill Kim², Sung-Yul Ahn³

¹Department of Dermatology, Gachon University Gil Medical center, Korea.

²Institute for Leprosy Research, Korean Hansen Welfare Association, Korea.

³Ahn's Plastic and Dermatologic Surgery Clinic, Korea.

Corresponding author: Sung-Yul Ahn. (pscliahn@hotmail.com)

Received 10 October 2018 Accepted 6 December 2018

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.

Keywords: Calcinosis cutis, Dystrophic, Surgical excision

Figures and Tables

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

Table 1

Treatment of calcinosis cutis

References

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