Calcinosis escrotal idiopática: Reporte de un caso.
Idiopathic scrotal calcinosis. A case report.
Abstract
Calcium participates in many physiological processes. Calcinosis cutis is a disease caused by calcium deposition in the dermis. Idiopathic scrotal calcinosis (ICS) is a common form of idiopathic calcinosis cutis. A 28-year-old male patient was evaluated, with symptoms of multiple white masses in the scrotum, of various sizes, not painful. Calcium and phosphorus levels were with in normal ranges, characteristic of idiopathic calcinosis, while vitamin D and PTH were outside the normal limits. Minor surgery was performed on circumscribed nodular lesions of various sizes with regular borders. Post-biopsy histological examination confirmed the diagnosis of calcinosis cutis. A low-calcium diet was prescribed as a long-term preventive method. Despite the infrequency of this condition, it should be taken into account when making a differential diagnosis. Its etiology is still unknown and it can present asymptomatically. The important thing is to provide the patient with a better quality of life, avoid discomfort and low self-esteem due to the aesthetic aspect.
Downloads
References
Bringhurst F, Demay MB, Krane SM, Kronenberg HM. Metabolismo óseo y mineral en salud y enfermedad. In: Longo DL, Kasper DL, Jameson J, Fauci AS, Hauser SL, Loscalzo J. eds. Harrison. Principios de Medicina Interna, 18e. McGraw Hill; 2012. Accessed abril 24, 2022. https:// accessmedicina.mhmedical.com/con- tent.asp x? b ook id =1622§ionid = 101851699
Iglesias-Gamarra A, Patarroyo PM, Rondón F, Rodríguez AI, Restrepo JF. Calcinosis Universal: una manifestación atípica de las colagenosis: ¿Es una vía común o vías diferentes del proceso inflamatorio? Rev Esp Enf Metabolic Oseas. 2002;11(2):50–58. http://www.elsevier.es el 02/09/2016.
Lei X, Liu B, Cheng Q, Wu J. Idiopathic scrotal calcinosis: report of two cases and review of literature: Idiopathic scrotal calcinosis. Int J Dermatol 2012;51(2):199–203. doi. org/10.1111/j.1365-4632.2011.04922.x
Palacios C. Lo nuevo en los requerimientos de calcio, propuesta para Venezuela. An Venez Nutr 2007: 20(2):99-107.
Fernández A, Sosa P, Setton D. Calcio y nutrición, Buenos Aires: Sociedad Argentina de Pediatría; 2011:1-19 [actualizado Jul 2011, 2022/04/06]. Disponible en:http:// www.sap.org.ar/docs/calcio.pdf
Priego NA, López GM, Morales CJA, Díaz LNCA, Velarde CA, Cortez BR, Cortés AY. Tumor escrotal de comportamiento incierto. Calcinosis idiopática. Rev Mex Uro-log 2007;67(4):223–266. Disponible en: https://www.medigraphic.com/cgi-bin/ new/resumen.cgi?IDARTICULO=29132
Pérez-Elizondo AD, Del Pino Rojas GT. Lesiones noduliformes en el escroto en un paciente de 35 años. Medicina General 2012;1(5):244-245. Disponible en: https://dialnet.unirioja. es/servlet/articulo?codigo=6346671.
Andola S, Karangadan S, Patil S. Idiopathic scrotal calcinosis: A case series. Indian J Dermatopathol Diagn Dermatol 2014;1(2):86-89. doi.org/10.4103/2349-6029.147312.
Ortiz LJ, Sánchez JL. Dermatology diagnosis. Idiopathic calcinosis cutis. Bol Asoc Med P R. 1987;79(12):491–492. Disponible en:http://bases.bireme.br/cgi-bin/wxis- lind.exe/iah/online/?IsisScript=iah/iah.xis&src=google&base=ADOLEC&lang=p&n extAction=lnk&exprSearch=66485&index Search=ID
Jiménez-Gallo D, Ossorio-García L, Linares-Barrios M. Calcinosis cutis y calcifilaxis. Actas Dermo-sifiliograficas 2015; 106(10):785–794. Disponible en: https:// doi.org/10.1016/j.ad.2015.09.001
Morales MMC, Martínez ME. Presentación de un caso de calcinosis idiopática del escroto. Congreso Virtual Hispanoamericano de Anatomía Patologica. Habana–Cuba, 2004. Disponible en: https://conganat.uni- net.edu/6CVHAP/autores/trabajos/T077/ index.html.
Soto-Miranda MÁ, Goné-Fernández A, Huesca, ARY. Calciphylaxis of the penis. A case report and literature review. Cirugía y cirujanos 2007; 75(2), 113-117. Disponible en: https://www.medigraphic.com/cgi-bin/ new/ resumenI.cgi?IDREVISTA=10& IDAR TICULO=12102&IDPUBLICACION=1270.
Jayarajah U, de Silva L, de Silva C, Seneviratne S. Idiopathic scrotal calcinosis: A case report of a rare entity. Case Rep Urol 2019;2019:6501964. Disponible en: http:// dx.doi.org/10.1155/2019/6501964.
Sultan-Bichat N, Menard J, Perceau G, Staerman F, Bernard P, Reguiaï Z. Treatment of calcinosis cutis by extracorporeal shock-wave lithotripsy. J Am Acad Dermatol 2012;66(3):424–429. Disponible en: http://dx.doi.org/10.1016/j.jaad. 2010.12.035.