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 © 2001-2010, DermAtlas | Image Name: | calcinosis_cutis_1_090401 | File Type: | jpg | |
| Diagnosis: | CALCINOSIS CUTIS | Category: | deposition disorders / Metabolic disorders | ||
| Body Site: | elbow | Age: | 10 years | ||
| Contributor: | Greg Hosler, MD, PhD | ||||
| Description: | Several white rock-hard papules are present on the extensor surface of one elbow. There were no other clinical findings. | ||||
| Comments: | This 10 year old girl presented with several rock-hard papules on the elbow region. These developed over months to years and were asymptomatic. She has no other medical problems. Calcinosis cutis is often dystrophic calcification, and in this location, likely secondary to trauma. Systemic disorders, such as dermatomyositis, in a child, may present with calcinosis cutis. Systemic hypercalcemia is a rare cause of calcinosis cutis in a child. | ||||
| Related Images: | calcinosis_cutis_2_090401 | ||||
 © 2001-2010, DermAtlas | Image Name: | calcinosis_cutis_2_090401 | File Type: | jpg | |
| Diagnosis: | CALCINOSIS CUTIS | Category: | deposition disorders / Metabolic disorders | ||
| Body Site: | elbow | Age: | 10 years | ||
| Contributor: | Greg Hosler, MD, PhD | ||||
| Description: | There are collections of basaloid granular material in the superficial dermis, with overlying epidermal hyperplasia. The material is basophilic and refractile, consistent with calcium (pyrophosphate). | ||||
| Comments: | This 10 year old girl presented with several rock-hard papules on the elbow region. These developed over months to years and were asymptomatic. She has no other medical problems. Calcinosis cutis is often dystrophic calcification, and in this location, likely secondary to trauma. Systemic disorders, such as dermatomyositis, in a child, may present with calcinosis cutis. Systemic hypercalcemia is a rare cause of calcinosis cutis in a child. | ||||
| Related Images: | calcinosis_cutis_1_090401 | ||||
 © 2001-2010, DermAtlas | Image Name: | calcified_heel_nodule_1_080927 | File Type: | jpg | |
| Diagnosis: | HEEL STICK NODULE / CALCINOSIS CUTIS | Category: | neonatal dermatology / lumps & bumps (plaques, nodules, tumors) | ||
| Body Site: | heel / foot | Age: | 5 months | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | firm 3 mm yellow-white nodule | ||||
| Comments: | This healthy thriving 5-month-old premature girl developed a solitary asymptomatic calcified nodule on her left heel. | ||||
| Related Images: | calcified_heel_nodule_2_080927 | ||||
 © 2001-2010, DermAtlas | Image Name: | calcified_heel_nodule_2_080927 | File Type: | jpg | |
| Diagnosis: | HEEL STICK NODULE / CALCINOSIS CUTIS | Category: | neonatal dermatology / lumps & bumps (plaques, nodules, tumors) | ||
| Body Site: | heel / foot | Age: | 5 months | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | firm 3 mm yellow-white nodule | ||||
| Comments: | This healthy thriving 5-month-old premature girl developed a solitary asymptomatic calcified nodule on her left heel. | ||||
| Related Images: | calcified_heel_nodule_1_080927 | ||||
 © 2001-2010, DermAtlas | Image Name: | dermatomyositis_4_080416 | File Type: | jpg | |
| Diagnosis: | DERMATOMYOSITIS / DERMATOMYOSITIS SINE MYOSITIS / CALCINOSIS CUTIS | Category: | collagen vascular disease | ||
| Body Site: | wrist | Age: | 6 years | ||
| Contributor: | Katherine Puttgen, MD | ||||
| Description: | firm yellow-white 4 mm smooth topped papule with surrounding erythema | ||||
| Comments: | This otherwise healthy 6-year-old girl had a several month history of progressive skin changes on the dorsal fingers, a new calcified nodule on the right volar wrist, and intermittent heliotrope rash. There was no clinical or serologic evidence of muscle involvement on two separate screenings 4 months apart. Magnetic resonance imaging of the upper legsI was ordered to rule out subtle myositis and is currently pending. | ||||
| Related Images: | All related Images dermatomyositis_7_080416 dermatomyositis_5_080416 dermatomyositis_3_080416 dermatomyositis_2_080416 dermatomyositis_1_080416 | ||||
 © 2001-2010, DermAtlas | Image Name: | dermatomyositis_5_080416 | File Type: | jpg | |
| Diagnosis: | DERMATOMYOSITIS / DERMATOMYOSITIS SINE MYOSITIS / CALCINOSIS CUTIS | Category: | collagen vascular disease | ||
| Body Site: | wrist | Age: | 6 years | ||
| Contributor: | Katherine Puttgen, MD | ||||
| Description: | firm yellow-white 4 mm smooth topped papule with surrounding erythema | ||||
| Comments: | This otherwise healthy 6-year-old girl had a several month history of progressive skin changes on the dorsal fingers, a new calcified nodule on the right volar wrist, and intermittent heliotrope rash. There was no clinical or serologic evidence of muscle involvement on two separate screenings 4 months apart. Magnetic resonance imaging of the upper legsI was ordered to rule out subtle myositis and is currently pending. | ||||
| Related Images: | All related Images dermatomyositis_7_080416 dermatomyositis_4_080416 dermatomyositis_3_080416 dermatomyositis_2_080416 dermatomyositis_1_080416 | ||||
 © 2001-2010, DermAtlas | Image Name: | Calcinosis_Cutis_Ulceration_1_061115 | File Type: | jpg | |
| Diagnosis: | CALCINOSIS CUTIS / SCLERODERMA | Category: | collagen vascular disease / cutaneous sign of systemic disease | ||
| Body Site: | face / cheek cheek | Age: | 48 years | ||
| Contributor: | António Matos da Fonseca, MD | ||||
| Description: | Middle-age woman with a history of diffuse scleroderma for more than 15 years. The patient develops lipoatrophy of the face and multiple calcified subepidermal nodules on the left masseteric region and a large ulceration with secondary infection and exposure of a piece of a homogeneous solid calcic substance. A correcting surgery for removal of the nodules and skin plasty was performed. Histopathologic exam demonstrates multiple calcium deposition in the dermis with a surrounding foreign body giant cell reaction. | ||||
| Comments: | This 48-year-old woman with a history of diffuse scleroderma for more than 15 years developed lipoatrophy of the face and multiple calcified subepidermal nodules over the left masseter. A large ulceration subsequently occurred on the left side of the face exposing rock hard chalky material. The nodules were excised and the defect was repaired. Histopathologic exam demonstrated multiple calcium nodules in the dermis with a surrounding foreign body giant cell reaction. | ||||
 © 2001-2010, DermAtlas | Image Name: | calcinosis_cutis_1_060522 | File Type: | jpg | |
| Diagnosis: | CALCINOSIS CUTIS / SCLERODERMA | Category: | collagen vascular disease / cutaneous sign of systemic disease | ||
| Body Site: | hand | Age: | 62 years | ||
| Contributor: | Eleni Theodorakopoulou | ||||
| Description: | multiple tender firm white scaly papules | ||||
| Comments: | This 62-year-old woman with a history of diffuse scleroderma for 8 years developed cutaneous calcifications on her hands. A skin biopsy demonstrated calcium deposition in the dermis with a surrounding foreign body giant cell reaction. | ||||
| Related Images: | All related Images calcinosis_cutis_3_060522 calcinosis_cutis_2_060522 | ||||
 © 2001-2010, DermAtlas | Image Name: | calcinosis_cutis_2_060522 | File Type: | jpg | |
| Diagnosis: | CALCINOSIS CUTIS / SCLERODERMA | Category: | collagen vascular disease / cutaneous sign of systemic disease | ||
| Body Site: | hand | Age: | 62 years | ||
| Contributor: | Eleni Theodorakopoulou | ||||
| Description: | multiple tender firm white scaly papules | ||||
| Comments: | This 62-year-old woman with a history of diffuse scleroderma for 8 years developed cutaneous calcifications on her hands. A skin biopsy demonstrated calcium deposition in the dermis with a surrounding foreign body giant cell reaction. | ||||
| Related Images: | All related Images calcinosis_cutis_3_060522 calcinosis_cutis_1_060522 | ||||
 © 2001-2010, DermAtlas | Image Name: | calcinosis_cutis_3_060522 | File Type: | jpg | |
| Diagnosis: | CALCINOSIS CUTIS / SCLERODERMA | Category: | collagen vascular disease / cutaneous sign of systemic disease | ||
| Body Site: | hand | Age: | 62 years | ||
| Contributor: | Eleni Theodorakopoulou | ||||
| Description: | multiple tender firm white scaly papules | ||||
| Comments: | This 62-year-old woman with a history of diffuse scleroderma for 8 years developed cutaneous calcifications on her hands. A skin biopsy demonstrated calcium deposition in the dermis with a surrounding foreign body giant cell reaction. | ||||
| Related Images: | All related Images calcinosis_cutis_2_060522 calcinosis_cutis_1_060522 | ||||
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    Books by the Dermatlas Editors |  ACI Journal | © DermAtlas, Johns Hopkins University; 2000-2010 |
Link directly to this page: http://DermAtlas.med.jhmi.edu/derm/result.cfm?Diagnosis=1919763371