Two "Cysts" Calcinosis Cutis

This is a young man who had this strange, white, firm bumps, like white marbles under the skin surface. So I excised one of them and sent the tissue for pathology. Results came back as Calcinosis Cutis
This results from deposits of calcium and phosphorus in the skin. There are four forms of calcinosis cutis.
1. Dystrophic calcinosis - for example, dermatomyositis, when calcification occurs in damaged tissue, and calcium and phosophorus levels in the blood are normal
2. Metastatic calcification - there are high levels of calcium and phosphorus in the blood and this leads to deposits in the skin. For example, people with hyperparathyroidism can have this.
3. Ioatrogenic/traumatic calcinosis - can be due to medical conditions or trauma
4. Idiopathic calcinosis - which means other forms with unknown causes with normal serum calcium. Essentially, this is applies to all other cases.

This patient had normal calcium levels in his blood, and he fits in category number 4. We don't know yet why he is getting these bumps, they are localized to one area of his body, and hopefully we have removed them all (he had two as you see here) and we will continue to watch to see whether he gets more.
So stay tuned!

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