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Case of the Week 576


What is the most likely diagnosis?

  • 53 year-old with discoloration of the fingers



Radiographs of Both Hands

  1. Gout
  2. Cushing Disease
  3. Hyperparathyroidism
  4. Metastatic Malignancy
  5. Calcinosis Circumscripta

Additional Image-None

 

Additional Images

 


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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

MORE . . .

 


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