Göknur KALKAN, Guler VAHABOGLU, Mehmet GONULTAŞ, Meral EKSİOĞLU

Ayak bileğinde lokalize tümoral kalsinozis olgusu

Kalsinozis kutis; lokal veya sistemik faktörler nedeniyle, çözünmeyen kalsiyum bileşiklerinin depolandığı bir grup hastalığı ifade etmek için kullanılan bir terimdir. Kutanöz kalsifikasyon dört ana sınıfa ayrılabilir; distrofik, metastatik, idiyopatik ve iyatrojenik. Tümoral kalsinozis, esasen kalça, omuzlar ve dirsekte olmak üzere periartiküler alanlarda kalsiyum depolanması ile karakterize, idiyopatik kalsinozisin bir alt grubunu oluşturan nadir bir hastalıktır. Burada 61 yaşında, sol ayak bileğinde 3 aylık asemptomatik nodüler lezyonu olan, klinik, histolojik ve radyografik bulgularla tömoral kalsinozis tanısı almış bir kadın hasta sunmaktayız

Anahtar Kelimeler:

Kalsinoz, kalsiyum, kutanöz

A case of tumoral calcinosis localized on the ankle

Calcinosis cutis is a term used to describe a group of disorders in which insoluble compounds of calcium are deposited within the skin due to local and/or systemic factors. Cutaneus calcification may be divided into four major categories; dystrophic, metastatic, idiopathic and iatrogenic. Tumoral calcinosis is a rare disease that is a subgroup of idiopathic calcinosis cutis with an obscure pathology characterized by the deposition of calcium in periarticular areas mainly around the hip, shoulder and elbow. Here we present a 61-year-old woman presented with a 3- month history of an asymptomatic nodular lesion growing in time on the left ankle that was diagnosed as tumoral calcinosis with the clinical, histological and radiographic findings

Keywords:

Calcinosis, calcium, cutaneous,

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1) Aksoy HM, Özdemir R, Karaaslan Ö, Tiftikçioğlu YO, Oruç M, Koçer U. Incidental idiopathic calcinosis cutis in a rhidectomy patient. Dermatol Surg 2004;30:1145-7.
2) Dimitroulis G.Tumoral calcinosis of the articular disc of the temporomandibular joint: a rare entity. J Oral Maxillofac Surg 2004;62:1551-3.
3) Sehgal VN, Khandpur S, Sardana K, Bajaj P, Jains N. Dystrophic calcinosis cutis circumscriptum. J Eur Acad Dermatol Venereol 2003;17:723-3.
4) Sanchez-Merino JM, Bouso-Montero M, FernandezFlores A, Garcia-Alonso J. Idiopathic calcinosis cutis of the penis. J Am Acad Dermatol 2004;51:118-9.
5) James WD, Berger TG, Elston MD. Andrews' diseases of the skin. Clinical dermatology. 10th ed. Canada: Saunders Elsevier; 2006.528-9.
6) Bittmann S, Günther M.W, Ulus H. Tumoral calcinosis of the gluteal region in a child: case report with overview of different soft-tissue calcifications. J Pediatr Surg 2003;38(8):4-7.
7) Murai S, Matsui M, Nakamura A. Tumoral calcinosis in both index fingers: a case report. Scand J Plast Hand Surg 2001;35:433-5.
8) Polykandriotis EP, Florenza KB, Raymound EH, Grünert J. A case of familial tumoral calcinosis in a neonate and review of the literature. Arch Orthop Trauma Surg 2004;124:563-7.
9) Aydın A, Tuncer S, Erer M, Bilgiç B. Tumoral calcinosis infiltrating the biceps brachii tendon- excision and reconstruction with allograft: a case report. J Hand Surg (Br) 2004;29(2):170-2.
10) Hammoun S, McCarthy EF, Weber K. Tumoral calcinosis in infants. Clin Orthop 2005;436:261-4.