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July 1978

Calcinosis Cutis Circumscripta: Treatment With an Intralesional Corticosteroid

Author Affiliations

From the Department of Dermatology, State University of New York, Downstate Medical Center, Brooklyn. Dr Lee is now with Southern California Permanente Medical Group, Fontana.

Arch Dermatol. 1978;114(7):1080-1081. doi:10.1001/archderm.1978.01640190064023

There is as yet no good way to treat calcinosis cutis circumscripta.1-3 The recent use of etidronate disodium has shown contradictory results.4,5 We report our experience with a patient with calcinosis cutis circumscripta in whom the lesions improved greatly with the intralesional administration of a corticosteroid (Fig 1, 2, and 3).

Report of a Case  A 13-year-old teenager was seen with a four-year history of nodules in the skin. There was no history of excessive intake of milk and vitamin D, no muscular symptoms, nor renal disease. Firm, freely mobile nodules were present over both knees, elbows, and popliteal fossae, the right wrist, and the left index finger. No other abnormalities were detected on systemic examination.The following laboratory test results were within normal limits: complete blood cell count, hemoglobin, serum sodium, potassium, chloride, calcium, phosphate, blood glucose, urea, serum creatinine, uric acid, alkaline phosphatase, lactic dehydrogenase,