Tags

Type your tag names separated by a space and hit enter

Surgical Management of Idiopathic Ulcerative Calcinosis Cutis in the Lower Extremity: A Case Report.
J Foot Ankle Surg. 2020 May - Jun; 59(3):603-607.JF

Abstract

The purpose of this case study is to describe the surgical treatment of idiopathic ulcerative cutaneous calcinosis or calcinosis cutis of the lower extremity. A 77-year-old Latin American female who reported no significant past medical history presented to our hospital's emergency department from her home complaining of worsening right lower extremity erythema, edema, increased temperature, and pain. It was noted that the patient presented with multiple cutaneous calcified nodules to bilateral lower extremities, which she stated has been present for approximately 40 years. At the time of evaluation, 1 of the nodules on the lateral aspect of the right lower extremity ulcerated and became infected with unknown etiology, which lead to cellulitis of this limb. Radiographic imaging studies of the bilateral lower extremities showed extensive sheetlike soft tissue calcification overlying the middle to distal lower extremities. Serology reports showed the patient was positive for rheumatoid factor, antinuclear antibodies, SS-A/Ro antibody, and SS-B/La antibody. Because of the evidence of frank purulence and cellulitic changes to the infected nodule, the patient was taken to surgery the following day for sharp debridement and biopsy of the site. Postoperatively, there were minimal signs of improved healing to the wound base, although there was evidence of decreased erythema and edema to the extremity after the initial debridement and biopsy. Four days after the initial surgical invention, the patient was taken for a second operative procedure, which included a wide excisional biopsy with application of acellular dermal matrix and negative-pressure therapy. It was during this secondary debridement that further calcified deposits were encountered and specimens were submitted to pathology. Pathologic examination diagnosed the submitted specimen as cutaneous calcinosis. At this time, the patient is currently undergoing local wound care of the soft tissue deficient to her right lower extremity with the assistance of negative-pressure wound therapy with biweekly clinical follow-up.

Authors+Show Affiliations

Podiatric Surgical Resident Postgraduate Year 3, Aventura Hospital and Medical Center, Aventura, FL. Electronic address: alton.johnsondpm@gmail.com.Podiatric Surgical Resident Postgraduate Year 3, Aventura Hospital and Medical Center, Aventura, FL.Attending Podiatric Surgeon, Aventura Hospital and Medical Center, Aventura, FL.Residency Program Director of Podiatric Surgery, Aventura Hospital and Medical Center, Aventura, FL.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31732275

Citation

Johnson, Alton R., et al. "Surgical Management of Idiopathic Ulcerative Calcinosis Cutis in the Lower Extremity: a Case Report." The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, vol. 59, no. 3, 2020, pp. 603-607.
Johnson AR, Mooshol D, Thakar V, et al. Surgical Management of Idiopathic Ulcerative Calcinosis Cutis in the Lower Extremity: A Case Report. J Foot Ankle Surg. 2020;59(3):603-607.
Johnson, A. R., Mooshol, D., Thakar, V., & Williams, M. (2020). Surgical Management of Idiopathic Ulcerative Calcinosis Cutis in the Lower Extremity: A Case Report. The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, 59(3), 603-607. https://doi.org/10.1053/j.jfas.2019.09.032
Johnson AR, et al. Surgical Management of Idiopathic Ulcerative Calcinosis Cutis in the Lower Extremity: a Case Report. J Foot Ankle Surg. 2020 May - Jun;59(3):603-607. PubMed PMID: 31732275.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical Management of Idiopathic Ulcerative Calcinosis Cutis in the Lower Extremity: A Case Report. AU - Johnson,Alton R,Jr, AU - Mooshol,Danielle, AU - Thakar,Vikram, AU - Williams,Marie, Y1 - 2019/11/13/ PY - 2019/03/18/received PY - 2019/09/27/accepted PY - 2019/11/17/pubmed PY - 2019/11/17/medline PY - 2019/11/17/entrez KW - acellular dermal matrix KW - calcium deposits KW - debridement KW - excision SP - 603 EP - 607 JF - The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons JO - J Foot Ankle Surg VL - 59 IS - 3 N2 - The purpose of this case study is to describe the surgical treatment of idiopathic ulcerative cutaneous calcinosis or calcinosis cutis of the lower extremity. A 77-year-old Latin American female who reported no significant past medical history presented to our hospital's emergency department from her home complaining of worsening right lower extremity erythema, edema, increased temperature, and pain. It was noted that the patient presented with multiple cutaneous calcified nodules to bilateral lower extremities, which she stated has been present for approximately 40 years. At the time of evaluation, 1 of the nodules on the lateral aspect of the right lower extremity ulcerated and became infected with unknown etiology, which lead to cellulitis of this limb. Radiographic imaging studies of the bilateral lower extremities showed extensive sheetlike soft tissue calcification overlying the middle to distal lower extremities. Serology reports showed the patient was positive for rheumatoid factor, antinuclear antibodies, SS-A/Ro antibody, and SS-B/La antibody. Because of the evidence of frank purulence and cellulitic changes to the infected nodule, the patient was taken to surgery the following day for sharp debridement and biopsy of the site. Postoperatively, there were minimal signs of improved healing to the wound base, although there was evidence of decreased erythema and edema to the extremity after the initial debridement and biopsy. Four days after the initial surgical invention, the patient was taken for a second operative procedure, which included a wide excisional biopsy with application of acellular dermal matrix and negative-pressure therapy. It was during this secondary debridement that further calcified deposits were encountered and specimens were submitted to pathology. Pathologic examination diagnosed the submitted specimen as cutaneous calcinosis. At this time, the patient is currently undergoing local wound care of the soft tissue deficient to her right lower extremity with the assistance of negative-pressure wound therapy with biweekly clinical follow-up. SN - 1542-2224 UR - https://www.unboundmedicine.com/medline/citation/31732275/Surgical_Management_of_Idiopathic_Ulcerative_Calcinosis_Cutis_in_the_Lower_Extremity:_A_Case_Report L2 - https://linkinghub.elsevier.com/retrieve/pii/S1067-2516(19)30384-9 DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.