Extensive Idiopathic Calcinosis
Rajesh Jain1 and Kundan Chaurasia2
1 Institute of Post Graduate Medical Education and Research, Kolkata, India
2 Desun Hospital and Heart Institute, Kolkata, India

Corresponding Author

Rajesh Jain, MD
Room No. 416 Junior Doctors Hostel
242 AJC Bose Road
Kolkata 700020 West Bengal, India
E-mail: docrajeshjain@gmail.com


e-ISSN 2308-118x
Printed in the Philippines
Copyright © 2013 by the JAFES
Received May 6, 2013. Accepted October 9, 2013.

Keywords: idiopathic calcinosis, Diabetes mellitus, Hyperparathyroidism.

A 60-year-old Indian male with a 2 year history of diabetes mellitus on insulin therapy and a past history of right sided hemiparesis due to cerebrovascular accident (CVA) presented with fracture of the neck of the left femur after a fall. X-ray showed extensive vascular calcifications, scrotal calcification and severe osteoporosis. Investigations revealed normal serum calcium, phosphorus alkaline phosphatase, vitamin D, 24-hour urinary calcium and a normal intact parathyroid hormone level. No pancreatic calcification was found on imaging of the pancreas. Bone mineral density by DXA scan revealed osteoporosis, but the cause for calcifications could not be ascertained. There were no scrotal nodules, autoimmune markers were negative and there were no other clinical or biochemical clues to suggest other diagnosis.2,3 Hence a diagnosis of idiopathic calcifications was made.

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Figure 1. Extensive scrotal and vascular calcifications, fractured neck of left femur, and osteoporosis.


References

1. Dhar D, Varghese TP. Idiopathic soft tissue calcification in an extremity: A Case Report. Oman Med J. 2013; 28: 131–132. doi: 10.5001/omj.2013.34.

2. Grenader T, Shavit L. Images in clinical medicine. Scrotal calcinosis. N Engl J Med.365;2011:647. doi: 10.1056/NEJMicm1013803.

3. Aggarwal N, Shrestha S. Dystrophic calcinosis cutis N Engl J Med.368:2013;e28. doi: 10.1056/NEJMicm1211227.


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