Introduction: Calcinosis cutis is a rare complication
characterized by abnormal deposition of calcium salts in the skin and
subcutaneous tissue. While acne vulgaris is a common dermatologic condition
marked by comedones, papules, pustules, and nodules, its typical complications
include post-inflammatory hyperpigmentation and scarring. Calcinosis cutis
secondary to acne is an uncommon and underrecognized entity.
Case Presentation: We report the case of a 30-year-old woman
with a longstanding history of skin-colored papules localized to the cheeks.
Initially diagnosed with comedonal acne, she was treated with isotretinoin (30
mg/day) for over three months without clinical improvement. Physical
examination revealed multiple firm, skin-colored papules (2–6 mm) over both
cheeks. Closer inspection using a magnification lens revealed no comedones,
prompting reconsideration of the diagnosis. Radiographic imaging confirmed the
presence of soft tissue calcifications in the affected areas. Laboratory
investigations, including serum calcium, vitamin D, parathyroid hormone, and
antinuclear antibody levels, were within normal limits. The diagnosis of
calcinosis cutis was established, and the patient underwent successful surgical
excision of the calcium deposits under local anesthesia.
Discussion: This case highlights calcinosis cutis as an
unusual yet important complication of acne vulgaris. It typically arises in
areas with chronic inflammatory lesions and may mimic persistent acne
clinically. Accurate diagnosis requires a combination of detailed clinical
examination and imaging studies. Surgical excision remains an effective
treatment in localized cases.
Conclusion: Calcinosis cutis is an uncommon complication of
acne vulgaris and should be considered in patients with long-standing acne-like
skin lesions and poor response to conventional anti-acne medications.
Author(s) Details
Qais Nouri Zghair
Private Clinic, Muscat, Oman.
Please see the book here :- https://doi.org/10.9734/bpi/msup/v1/6524
No comments:
Post a Comment