Article Text
Statistics from Altmetric.com
Description
We are presenting a case of tumoral calcinosis (TC) diagnosed on histopathology with characteristic X-ray, CT and MRI images. We acknowledge that although radiological and pathological descriptions are suggested as diagnostic criteria, mostly the term TC is saved for the condition caused by hereditary metabolic dysfunction of phosphate regulation associated with massive periarticular masses. Our patient had a normal phosphate. On review of literature, normophosphatemic TC has also been described.1
An 81-year-old Caucasian woman presented with left wrist pain and swelling, which first began approximately 3–4 years ago. As per patient, she saw her physician regarding this 1 year ago and was diagnosed with gout. Physical examination showed 4×3 cm left-sided volar ulnar wrist mass (figure 1).
The patient’s vital signs and rest of the examination were within normal limits. No history of trauma reported. Labs: serum creatinine 0.72 mg/dL, Vitamin D 25 was 20 ng/mL. Para thyroid hormone (PTH) was not …
Footnotes
Contributors RH wrote the case and took patients and IRB’s permission to submit the case. ZA helped RH with the case. EGH read the images as a radiologist and helped with writing on the case. HS is the corresponding author and prepared the case for submission.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.