About a subcutaneous calcification
Dhia Kaffel, Hela Kchir
The Pan African Medical Journal. 2018;29:9. doi:10.11604/pamj.2018.29.9.14188

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About a subcutaneous calcification

Cite this: The Pan African Medical Journal. 2018;29:9. doi:10.11604/pamj.2018.29.9.14188

Received: 20/10/2017 - Accepted: 20/12/2017 - Published: 04/01/2018

Key words: CREST syndrome, sub-cutaneous calcification, systemic sclerosis

© Dhia Kaffel et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/29/9/full

Corresponding author: Dhia Kaffel, Rheumatology Department, Kassab Institute, Manouba, Tunisia (dhkzero@yahoo.fr)

About a subcutaneous calcification

Dhia Kaffel1,&, Hela Kchir2


1Rheumatology Department, Kassab Institute, Manouba, Tunisia, 2Gastroenterology Department, Rabta Hospital, Tunisia



&Corresponding author
Dhia Kaffel, Rheumatology Department, Kassab Institute, Manouba, Tunisia



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We report a case of 62-year-old Tunisian woman with a 10-year history of a CREST syndrome (systemic sclerosis meeting the criteria of the CREST syndrome of the 1980 American College of Rheumatology classification for raynaud phenomenon, esophageal dysmotility, sclerodactyly and telangiectasia). Her daughter is treated in neurology for myasthenia gravis. Our patient presents a 5-month history of increasing inflammatory right thumb pain concomitant with the discovery of a subcutaneous hard mass (A). Radiographs of her thumb showed a sub-cutaneous calcification (as another part of the CREST syndrome criteria) (B). X-rays of hands found an acro-osteolysis (C). In the CREST syndrome, the calcific deposits can be subclinical. But, when symptomatic, it becomes painful, tender and an inflammatory reaction can occur facing the calcinosis.



Figure 1: A) thickening and tightening of the skin over the thumb with deposition of calcific nodules; (B) radiographs of her thumb showing a sub-cutaneous calcification; (C) acro-osteolysis in the hands X-rays

















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CREST syndrome
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