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Acral post-traumatic tumoral calcinosis in pregnancy: a case report
Nick Hutt1, Davinder Ps Baghla, Vivek Gulati
1Department of Orthopaedic Surgery, Ealing Hospital NHS Trust, Uxbridge Road, Southall, UB1 3HW, UK. vivek0@hotmail.com.
Introduction:
Tumoral calcinosis is an uncommon disorder characterized by the development of calcified masses within the peri-articular soft tissues of large joints, but rarely occurs within the hand.
Case Presentation:
We present the case of a 31-year-old pregnant Indian woman with a three-month history of painful swelling within the tip of her right middle finger following a superficial laceration. She was otherwise well and had normal serum calcium and phosphate levels. Plain radiography demonstrated a dense, lobulated cluster of calcified nodules within the soft tissues of the volar pulp space, consistent with a diagnosis of tumoral calcinosis. This diagnosis was confirmed on the basis of the histopathological examination following surgical excision.
Conclusion:
To the best of our knowledge, we present the only reported case of acral tumoral calcinosis within the finger, and the first description of its occurrence during pregnancy. We review the etiology, pathogenesis and treatment of tumoral calcinosis.