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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Clinical Spectrum of Calcinosis Cutis From Common to Rare Presentations: A Prospective Study

Machani Niharika, Lekkala Sreedevi, D. Edukondala Rao, A. Vijaya Kumari and V. Kishore Kumar
Page: 226-230 | Received 29 Apr 2024, Accepted 01 May 2024, Published online: 03 May 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.6.226.230

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Abstract

Calcinosis cutis is an aberrant calcium deposition in skin and subcutaneous tissues. In view of pathogenesis, there are four types: dystrophic, idiopathic, metastatic and iatrogenic. To explore common and rare presentations across clinical spectrum of calcinosis cutis. A prospective study of 20 suspected cases of calcinosis cutis that visited outpatient clinic at our tertiary care center over a period of one year are studied to know about the spectrum of clinical presentations. Dystrophic, idiopathic, metastatic and iatrogenic calcinosis cutis occurred in 45%, 50%, 5% and 0% of total 20 cases respectively. Of dystrophic calcifications, Calcinosis cutis owing to trauma, multiple scrotal sebaceous cysts, systemic sclerosis, secondary to hidradenitis suppurativa and carbuncle occurred in 22.22%, 33.33%, 22.22%, 11.11% and 11.11% respectively. Among three types of idiopathic calcinosis, scrotal calcinosis, subepidermal calcified nodule and tumoral calcinosis occurred in 50%, 30% and 20% of cases respectively. A Chronic kidney failure patient had metastatic calcification. Scrotum and extremities (35% each) are the most common sites involved. Most patients are middle‐aged, youngest being one‐month‐old male baby and oldest is 78 year male. All relevant investigations done and diagnosis confirmed by histopathology. Though dystrophic calcifications are most common while idiopathic being rarest, our study showed slightly higher incidence of idiopathic cases even after thorough investigations. Additionally, study demonstrated atypical clinical presentations of calcinosis cutis in relation to age, location and resemblance to other dermatome posing diagnostic challenge and subsequently impacting treatment strategies.

How to cite this article:

Machani Niharika, Lekkala Sreedevi, D. Edukondala Rao, A. Vijaya Kumari and V. Kishore Kumar. Clinical Spectrum of Calcinosis Cutis From Common to Rare Presentations: A Prospective Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.6.226.230
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.6.226.230