What is the most likely diagnosis?
- 53 year-old with discoloration of the fingers
Radiographs of Both Hands
- Gout
- Cushing Disease
- Hyperparathyroidism
- Metastatic Malignancy
- Calcinosis Circumscripta
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Answer:
5. Calcinosis Circumscripta
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Calcinosis Circumscripta
General Considerations
- Punctate calcifications resulting from the deposition of calcium hydroxyapatite crystals in the skin and subcutaneous tissues
- Most often associated with scleroderma, dermatomyositis and/or Raynaud’s phenomenon
- Occurs most often in adult females (6:1 female:male)
- Mostly in the upper extremity, especially the fingers
- One of the manifestations of CREST syndrome