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Cervical and lumbar paraspinal calcinosis in systemic sclerosis
1Division of Medicine, Ng Teng Fong General Hospital. chin_kwok_tan@juronghealth.com.sg.
Reumatismo
|March 17, 2017
Summary
Extensive spinal calcinosis, a rare complication of systemic sclerosis, can affect multiple spinal regions. This case highlights simultaneous cervical and lumbar paraspinal calcinosis in limited cutaneous scleroderma.
Area of Science:
- Rheumatology
- Radiology
- Skeletal Diseases
Background:
- Calcinosis is a known complication of systemic sclerosis (SSc).
- Paraspinal or intraspinal calcinosis is uncommon in SSc patients.
- Previous reports describe isolated involvement of cervical, thoracic, or lumbar spine.
Observation:
- A rare case of limited cutaneous scleroderma presented with extensive paraspinal calcinosis.
- The calcinosis affected both the cervical and lumbar spine simultaneously.
- This presentation is distinct from previously documented cases.
Findings:
- Demonstrates extensive paraspinal calcinosis involving contiguous cervical and lumbar regions.
- Highlights the potential for widespread spinal involvement in systemic sclerosis-associated calcinosis.
- Challenges the notion of isolated spinal segment involvement.
Implications:
- Suggests a need for broader spinal imaging in SSc patients with calcinosis.
- May influence diagnostic and management strategies for spinal calcinosis in SSc.
- Contributes to understanding the spectrum of calcinosis manifestations in systemic sclerosis.
