Dystrophic calcification

Case contributed by Dr Jeremy Jones

Presentation

Right ankle pain and swelling following inversion injury.

Patient Data

Age: 11
Gender: Male

Initial presentation

Modality: X-ray

Swelling anterior to the right ankle with extensive soft tissue calcification.

Review of previous imaging, revealed a previous presentation to A&E with a left hand injury.

Modality: X-ray

There is a large focus of dystrophic calcification projected over the dorsal aspect of the hand at the junction of the base of the 3rd and 4th metacarpals.

Case Discussion

There is marked soft tissue swelling anterior to (and outside) the ankle joint with extensive soft tissue calcification.

Features here are of dystrophic calcification, the cause of which was initially unclear.  Subsequent investigation revealed hyperparathyroidism and abnormal calcium metabolism.

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Case Information

rID: 20003
Case created: 28th Oct 2012
Last edited: 5th Feb 2016
Inclusion in quiz mode: Included

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