Original article | Volume 29, Article 9, 04 Jan 2018 | 10.11604/pamj.2018.29.9.14188

About a subcutaneous calcification

Dhia Kaffel, Hela Kchir

Corresponding author: Dhia Kaffel, Rheumatology Department, Kassab Institute, Manouba, Tunisia

Received: 20 Oct 2017 - Accepted: 20 Dec 2017 - Published: 04 Jan 2018

Domain: Radiology

Keywords: CREST syndrome, sub-cutaneous calcification, systemic sclerosis

©Dhia Kaffel et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Dhia Kaffel et al. About a subcutaneous calcification. Pan African Medical Journal. 2018;29:9. [doi: 10.11604/pamj.2018.29.9.14188]

Available online at: https://www.panafrican-med-journal.com/content/article/29/9/full

Home | Volume 29 | Article number 9

Original article

About a subcutaneous calcification

About a subcutaneous calcification

Dhia Kaffel1,&, Hela Kchir2

 

1Rheumatology Department, Kassab Institute, Manouba, Tunisia, 2Gastroenterology Department, Rabta Hospital, Tunisia

 

 

&Corresponding author
Dhia Kaffel, Rheumatology Department, Kassab Institute, Manouba, Tunisia

 

 

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We report a case of 62-year-old Tunisian woman with a 10-year history of a CREST syndrome (systemic sclerosis meeting the criteria of the CREST syndrome of the 1980 American College of Rheumatology classification for raynaud phenomenon, esophageal dysmotility, sclerodactyly and telangiectasia). Her daughter is treated in neurology for myasthenia gravis. Our patient presents a 5-month history of increasing inflammatory right thumb pain concomitant with the discovery of a subcutaneous hard mass (A). Radiographs of her thumb showed a sub-cutaneous calcification (as another part of the CREST syndrome criteria) (B). X-rays of hands found an acro-osteolysis (C). In the CREST syndrome, the calcific deposits can be subclinical. But, when symptomatic, it becomes painful, tender and an inflammatory reaction can occur facing the calcinosis.

 

 

Figure 1: A) thickening and tightening of the skin over the thumb with deposition of calcific nodules; (B) radiographs of her thumb showing a sub-cutaneous calcification; (C) acro-osteolysis in the hands X-rays

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

About a subcutaneous calcification

Original article

About a subcutaneous calcification

Original article

About a subcutaneous calcification

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Key words

CREST syndrome

Sub-cutaneous calcification

Systemic sclerosis

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About a subcutaneous calcification