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Masseter idiopathic calcinosis circumscripta: A rare condition.
Journal of Stomatology, Oral and Maxillofacial Surgery
|March 2, 2022
Summary
Idiopathic calcinosis circumscripta, a rare soft tissue calcification, can affect the masseter muscle. Diagnosis is challenging due to its rarity and potential for misdiagnosis with other conditions.
Area of Science:
- Biomineralization and ectopic calcification research.
- Musculoskeletal and craniofacial pathology.
- Rare disease diagnosis and management.
Background:
- Calcinosis involves ectopic calcification in soft tissues, with calcinosis circumscripta being localized muscle calcification.
- Calcinosis circumscripta can be metastatic, dystrophic, or idiopathic, differing from calcinosis universalis seen in inflammatory myopathies.
- The masseter muscle is an uncommon site for calcinosis circumscripta.
Observation:
- A case report of a 22-year-old female presenting with facial swelling.
- The swelling was localized to the left middle third of the face.
- Clinical presentation suggested a rare masseter muscle calcification.
Findings:
- Idiopathic calcinosis circumscripta of the masseter muscle is a rare condition.
- Pre-operative diagnosis poses a significant challenge due to numerous differential diagnoses.
- A combination of clinical history and examination aided in suspecting this rare diagnosis.
Implications:
- Highlights the diagnostic challenges associated with rare masseter muscle calcifications.
- Emphasizes the importance of considering idiopathic calcinosis circumscripta in facial swelling cases.
- Suggests the need for comprehensive diagnostic approaches for localized ectopic calcifications.

