Computed Tomography in Soft Tissue Calcification Layering

Gordon, Leonard F.; Arger, Peter H.; Dalinka, Murray K.; Coleman, Beverly G.

doi:10.1097/00004728-198402000-00015

Cited by 16 publications

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“…It is therefore not surprising that this condition is observed with greater frequency in patients with systemic disorders in which the "calcium-phosphate" product is elevated, particularly in hyperphosphatemic disorders such as vitamin D intoxication, chronic renal failure, and hyperphosphatemic tumoral calcinosis [4,9,14,25]. The latter disorder appears to be an autosomal dominant disease with variable penetrance, characterized by inappropriately avid renal phosphate retention, inappropriately high serum levels of the hormonal form of vitamin D (1,25-dihydroxyvitamin D), and a unique hypoplastic dental lesion [27,46].…”

Section: Discussionmentioning

confidence: 99%

Tumoral calcinosis-like lesion of the proximal linea aspera

et al. 1990

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Abstract. Tumoral calcinosis is presently a poorly defined disease. In its classic form, it consists of multiple large foci of benign mineralization in the soft tissuc adjacent to bone near large joints. Patients are generally of African descent and are adolescents or young adults at presentation. Both metabolic and traumatic etiologies have been proposed. We report six adult Caucasian patients with lesions that pathologically resembled tumoral calcinosis. All lesions were small (less than 3 x 3 cm) and were located along the proximal 1inca aspera of the femur. All patients presented with pain. Because of the atypical patient population and the unusual size and location of the lesions, we refer to this process as a "tumoral calcinosis-like lesion." A typical radiographic appearance and location, together with appropriate clinical history, can strongly suggest this diagnosis.

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Section: Discussionmentioning

confidence: 99%

Tumoral calcinosis-like lesion of the proximal linea aspera

et al. 1990

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Section: Discussionmentioning

confidence: 99%

“…Most conventional radiographic studies fail to show the layering as they are not taken with a horizontal ray beam 3 . Previous reports have shown this phenomenon in idiopathic tumoral calcinosis, 3,4 secondary hyperparathyroidism complicating chronic renal failure 3 and calcific tenosynovitis associated with calcific myonecrosis 2 . Other causes of calcified soft‐tissue masses with potential for similar layering include idiopathic calcinosis universalis, calcified subcutaneous fat necrosis, myositis ossificans, calcified soft‐tissue neoplasms and dystrophic calcification associated with chronic haematoma or abscess 2,5 …”

Section: Discussionmentioning

confidence: 99%

Fluid‐calcium level in the thigh versus clinical diagnosis of a soft‐tissue abscess: Ultrasound features of dermatomyositis

Gelderen

2007

Australasian Radiology

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Fig. 1. Anteroposterior radiographs of both thighs demonstrate extensive subcutaneous and deeper plaques of calcification, mostly linear and curvilinear in configuration. Calcifications are due to known dermatomyositis. Fig. 2. Ultrasound of the posterior left thigh in the prone position shows extensive superficial, subcutaneous calcifications causing marked shadowing and partially obscuring deeper tissues. However, in the deeper intermuscular plane a flattened elongated collection is noted containing milk of calcium in its dependant portion with fluid-calcium layering. SUMMARYUltrasound features of a fluid-calcium level in a soft-tissue mass in the thigh in dermatomyositis are described. As the mass was tender, a soft-tissue abscess required to be excluded by aspiration.

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“…Calcification of the skin has also been reported in systemic lupus erythematosus (14,16,35); rheumatoid arthritis (14,16); solitary congenital nodular calcification on the face or extremities (16); and subepidermal calcified nodules on the scalp or face of children (16). Considering the frequent use and key role of scintigraphy, ultrasound, CT scan, and MRI, as well as cytologic, immunohistochemical and electron microscopic investigative methods, in the diagnosis of soft tissue disorders (3,(36)(37)(38)(39)(40), the detection of new cases ofTC is expected to increase constantly. Consequently, this entity will no more be regarded as a neglected (3,5), uncommon (1,2,4,7,9,10,15,16), and misdiagnosed (9,41) disorder.…”

Section: Discussionmentioning

confidence: 99%

Tumoral Calcinosis: Report of a Case and Brief Review of the Literature

Abraham¹,

Rozner

Rozenbaum

1996

The Journal of Dermatology

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A patient with a 32-year history of tumoral calcinosis is described. The calcified lesions involved the soft tissues in the hips, shoulders, and ankles. Periodically, a chalky semifluid material extruded through several cutaneous sinuses. Laboratory tests including serum calcium concentration were normal, except for slight elevation of serum phosphorous levels. Ophthalmologic examination revealed the interesting finding of subretinal angioid streaks. The dental radiograms disclosed pathognomonic short bulbous roots and partial obliteration of pulp cavities, while the radiological evaluation of the tumoral masses revealed typical features of tumoral calcinosis.

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Computed Tomography in Soft Tissue Calcification Layering

Cited by 16 publications

References 0 publications

Tumoral calcinosis-like lesion of the proximal linea aspera

Tumoral calcinosis-like lesion of the proximal linea aspera

Fluid‐calcium level in the thigh versus clinical diagnosis of a soft‐tissue abscess: Ultrasound features of dermatomyositis

Tumoral Calcinosis: Report of a Case and Brief Review of the Literature

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