Sodium thiosulfate dressings facilitate healing of refractory cutaneous ulcers of calcinosis cutis

Citation metadata

Authors: S. Karthik, A. Bhatt and T. Babu
Date: April-June 2019
From: Journal of Postgraduate Medicine(Vol. 65, Issue 2)
Publisher: Medknow Publications and Media Pvt. Ltd.
Document Type: Case study
Length: 751 words
Lexile Measure: 1540L

Document controls

Main content

Article Preview :

Byline: S. Karthik, A. Bhatt, T. Babu

A 62-year-old man presented to our hospital in 2014 with non-healing ulcers in right 3rd and 4th toes. He was completely devoid of scalp and body hair (alopecia totalis); had salt and pepper like appearing skin over back and legs; pinched nose; thick and tight skin in hands and feet. The skin over his feet was remarkable for multiple callosities (some of which were causing recurrent non-healing ulcers). X-ray of foot revealed multiple soft tissue calcifications and biopsy showed hyperkeratosis, parakeratosis of epidermis with focal calcifications in dermis- being diagnostic of calcinosis cutis. He had undergone cataract surgery in both eyes at the age of 38 years and was detected to have diabetes at the age of 44 years. His serum calcium, serum phosphate, and urinary calcium levels were normal. He was worked up for the differentials of connective tissue disorders including scleroderma but was not manifesting Raynaud's phenomenon, telangiectasia, esophageal dysmotility or pulmonary dysfunction and his extractable nuclear antigen (ENA) panel was negative. Considering his appearance suggestive of premature ageing, cataract surgeries in both eyes at young age and...

Source Citation

Source Citation   

Gale Document Number: GALE|A584164892