In 1979, Hazen and Askari1 described two patients who had a unique form of localized scleroderma. Both patients had prominent sclerodermatous changes of the face and scalp associated with hair loss, beaking of the nose, extensive calcinosis of the face, and persistent ulcers in the areas of calcinosis. Multiple treatments had been tried with little or only temporary improvement. We now wish to report almost complete resolution of the calcinosis and healing of the associated cutaneous ulcerations in one of the patients after repeated injections of intralesional steroids. The other patient was unavailable for follow-up.
Report of a Case
In 1976, an 83-year-old woman had had a 15-year history of progressive tightening of the facial and scalp skin and anterior scalp alopecia and a two-year history of calcinosis in the preauricular and zygomatic areas and on the neck. In areas of cutaneous calcification, painful, large ulcerations had developed, and