Treatment of calcinosis cutis by extracorporeal shock-wave lithotripsy

Sultan-Bichat, Nathalie; Menard, J.; Perceau, G.; Staerman, F.; Bernard, Philippe; Réguiai, Z.

doi:10.1016/j.jaad.2010.12.035

Cited by 70 publications

(44 citation statements)

References 21 publications

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“…ESWL uses acoustic shock waves to break apart mineral deposits such as in nephrolithiasis and calcific tendinitis. Recently, a prospective study of eight patients with calcinosis cutis associated with chronic venous insufficiency (n = 4), systemic sclerosis (n = 3), and dermatomyositis (n = 1) were treated with up to three ESWL sessions (70). A woman with limited cutaneous scleroderma and large ulcerations in the lower limbs secondary to calcinosis responded with a decrease in lesion size and healing of ulcerations after three ESWL treatments (68).…”

Section: Procedural Therapymentioning

confidence: 99%

Calcinosis cutis in autoimmune connective tissue diseases

2012

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Calcinosis cutis is a chronic condition involving insoluble calcified deposits of the skin and subcutaneous tissue. It is commonly associated with autoimmune connective tissue diseases and can be a source of pain and functional disability. The likelihood of developing calcinosis varies among the autoimmune connective tissue diseases, with systemic sclerosis and dermatomyositis being the most commonly associated. Identification of therapy for this challenging disorder has been hampered by a paucity of large controlled trials. Although there is no uniformly effective treatment for calcinosis cutis, several surgical and medical therapies have demonstrated varying degrees of benefit in the treatment of calcinosis, including surgical excision, laser therapy, extracorporeal shock wave lithotripsy, diltiazem, minocycline, colchicine, and topical sodium thiosulfate, along with others. Recommendations for the diagnosis and therapy of calcinosis cutis in patients with autoimmune connective tissue diseases are discussed.

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Section: Procedural Therapymentioning

confidence: 99%

Calcinosis cutis in autoimmune connective tissue diseases

2012

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“…Electric shock wave lithotripsy is successful in treating calcinosis cutis associated with dermatomyositis, venous insufficiency and scleroderma with complete relieve of pain, although the reduction of the size of calcification was minimal [4,5].…”

Section: Discussionmentioning

confidence: 99%

Calcinosis cutis.

Wickrematilake¹

2016

A J Diagn Imaging

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A 45 years old woman presented with Reynaud's phenomena involving bilateral fingers and toes with chronic ulceration of right middle finger. She was diagnosed as having limited systemic sclerosis with calcinosis of fingers. Finger calcinosis was confirmed by x ray of hands. She was treated with calcium channel blockers and intra-lesional steroid application. Medical therapy for calcinosis has limited benefit, and recurrence is also common after surgical excision. Patient was investigated for other organ involvement in systemic sclerosis.

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“…Colchicine [87], NSAIDs, and local steroids can be used for local inflammation surrounding the calcinosis. Non-pharmacologic options include carbon dioxide laser [88] and extracorporeal shock wave lithotripsy [89] which have been suggested in small case series to reduce the calcinosis area and have an analgesic effect [89]. Surgery is reserved for large localized lesions but vasculopathy associated with SSc increases risk for poor wound healing.…”

Section: Calcinosismentioning

confidence: 99%

Update on Systemic Sclerosis

McCray

Mayes

2015

Curr Allergy Asthma Rep

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Systemic sclerosis (SSc) is a rare autoimmune disease characterized by autoantibody production, small-vessel vasculopathy, and skin and other organ fibrosis. The disease is clinically heterogeneous with most patients having some degree of skin sclerosis with varying organ system involvement. Early disease can be difficult to diagnose, especially with minimal skin sclerosis and absence of anti-nuclear antibody (ANA) positivity; however, studies have demonstrated early diagnosis is important as early treatment could potentially lead to better outcomes. New classification criteria have recently been published that have higher sensitivity for detecting early disease thus allowing for a broader spectrum of patients to be represented in clinical trials. Treatment guidelines have been published based on a limited number of randomized-controlled clinical trials; however, there are ongoing phase II and III clinical trials with novel agents that are promising and will change the treatment landscape over the next decade.

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Treatment of calcinosis cutis by extracorporeal shock-wave lithotripsy

Cited by 70 publications

References 21 publications

Calcinosis cutis in autoimmune connective tissue diseases

Calcinosis cutis in autoimmune connective tissue diseases

Calcinosis cutis.

Update on Systemic Sclerosis

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