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Cytodiagnosis of idiopathic calcinosis cutis: a case report
Monisha Choudhury1, Kiran Agarwal, Smita Singh
1Department of Pathology, Lady Hardinge Medical College, NEW DELHI, INDIA.
Insights
Idiopathic calcinosis cutis was diagnosed using fine needle aspiration cytology in a 50-year-old female. This method, confirmed by histopathology, identified amorphous calcium salts and histiocytes, aiding in diagnosis.
Area of Science:
- Dermatopathology
- Cytopathology
Background:
- Idiopathic calcinosis cutis is a rare condition characterized by calcium deposition in the skin.
- Diagnosis often relies on clinical presentation and histopathological examination.
Observation:
- A 50-year-old female presented with a subcutaneous swelling near the left iliac crest.
- Fine needle aspiration cytology revealed amorphous calcium salts and histiocytes.
Findings:
- The cytological findings, coupled with the clinical context, led to a cytodiagnosis of idiopathic calcinosis cutis.
- Histopathology subsequently confirmed the diagnosis.
Implications:
- Fine needle aspiration cytology can be a valuable tool for the initial diagnosis of idiopathic calcinosis cutis.
- Understanding potential diagnostic pitfalls on cytology smears is crucial for accurate assessment.
Abstract:
We report a case of idiopathic calcinosis cutis diagnosed by fine needle aspiration cytology in a 50-yr-old female who presented with a subcutaneous swelling near the left iliac crest. Cytological finding of amorphous calcium salts with histiocytes and the appropriate clinical background led to the cytodiagnosis of idiopathic calcinosis cutis as subsequently confirmed on histopathology. Pitfalls in the diagnosis of calcinosis cutis on cytology smears are also discussed.
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