Idiopathic Tumoral Calcinosis with Unusual Presentation- Case Report with Review of Literature

 

What to Learn from this Article?

Unusual Presentation of Tumoral Calcinosis.


Case Report |  Volume 4 | Issue 3 | JOCR July-Sep 2014 | Page 59-62 | Banshelkikar SN, Argekar H, Bhoir A. DOI: 10.13107/jocr.2250-0685.199


Authors: Banshelkikar SN[1], Argekar H[1], Bhoir A[1]

[1] Department Of Orthopaedics, Lokmanya Tilak Municipal Medical College And General Hospital, Sion. Mumbai. India.

Address of Correspondence:

Dr. Santosh N Banshelkikar, Flat No 101, Bldg No 40/1, Siddhivinayak Chs, Near Municipal School, Tilaknagar – West. Mumbai – 400089. Mobile: +91 9930 40 21 22, Email: drsantoshnb@gmail.com


Abstract

Introduction: Tumoral calcinosis is an uncommon disorder characterised by the deposition of calcium phosphate in periarticular tissues. The deposits are usually around large joints; but rarely can be found around small joints of hand and feet.

Case Report: We present the case of 13 year old female with three years history of spontaneous, progressively increasing, painful swellings along right middle finger and right heel. She was otherwise well and had normal serum calcium but elevated phosphate levels. Plain radiography demonstrated a dense lobulated cluster of calcific nodules within soft tissues consistent with a diagnosis of tumoral calcinosis. This diagnosis was confirmed on the basis of histopathological examination following surgical excision.

Conclusion: As such tumoral calcinosis is a rare entity and with such unusual presentations like in our case, it may lead to diagnostic confusion. Tumoral calcinosis should be considered in the differential diagnosis of painful swellings developing in the vicinity of small joints of hand and feet.

Keywords: Tumoral  calcinosis , small joints , calcium salts deposition.


How to Cite This Article: Banshelkikar SN, Argekar H, Bhoir A. Idiopathic Tumoral Calcinosis with Unusual Presentation- Case Report with Review of Literature. Journal of Orthopaedic Case Reports 2014 July-Sep;4(3): 59-62. Available from: http://www.jocr.co.in/wp/2014/07/11/2250-0685-199-abstract/

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