Calcific prepatellar bursitis
Chronic hard painful swelling in front of the knee cap.
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Multiple nodular calcifications in front of the patella.
Calcific prepatellar bursitis or housemaid's knee is a chronic condition characterized by dystrophic calcifications in a chronic inflamed prepatellar bursa, which is a thin synovial lined superficial bursa anterior and slightly inferior to the patella.
Due to repetitive kneeling pressure trauma.
Scleroderma could also cause this.