To the Editor.
—Tumoral calcinosis is an ectopic calcification syndrome characterized by periarticular softtissue calcium deposits, without widespread visceral or vascular calcifications.1 The lesions are pathologically benign; commonly occur at pressure points around the hips, elbows, and shoulders; and consist of hydroxyapatite. Typically, the patients are normocalcemic and have normal serum parathyroid hormone concentrations. Marked hyperphosphatemia has been reported in some patients. To our knowledge, ocular calcifications have not been reported previously in patients with this disorder.
Report of a Case.
—A 17-year-old woman, who was known to have tumoral calcinosis, presented with the new complaint of mild bilateral ocular irritation. The diagnosis of tumoral calcinosis had been made at age 7 years when she presented with a tender soft-tissue mass in her right elbow, which was subsequently excised. She developed masses in her right heel at age 12 years, right index finger at age 13 years, and right
Bruns DE, Lieb W, Conway BP, Savory J, Wills MR, Boskey AL. Band Keratopathy and Calcific Lid Lesions in Tumoral Calcinosis. Arch Ophthalmol. 1988;106(6):725-726. doi:10.1001/archopht.1988.01060130795020