Surgical resection of symptomatic calcinosis in a patient with systemic sclerosis
Introduction: Systemic sclerosis is a rare, autoimmune, progressive disease that affects connective tissues and internal organs by inflammation, which can cause calcinosis cutis. It can progress to painful and disabling conditions, and can become infected, especially when skin ulceration is present....
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2019-03-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2357/en_v34n1a20.pdf |
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| author | Caio Pundek Garcia Natalia Biancha Rendon Carlo Mognon Mattiello Flávia Cristina de Novaes Gerber Jorge Bins-Ely |
| author_facet | Caio Pundek Garcia Natalia Biancha Rendon Carlo Mognon Mattiello Flávia Cristina de Novaes Gerber Jorge Bins-Ely |
| author_sort | Caio Pundek Garcia |
| collection | DOAJ |
| description | Introduction: Systemic sclerosis is a rare, autoimmune, progressive disease that affects connective tissues and internal organs by inflammation, which can cause calcinosis cutis. It can progress to painful and disabling conditions, and can become infected, especially when skin ulceration is present.
Objective: To present a case of calcinosis in the inguinal region and its surgical recovery.
Case Report: A female patient with calcinosis in the bilateral inguinal region presenting with moderate/severe pain had a failed clinical treatment. We performed surgical resection of the calcinosis cutis, which had formed clusters of fibrosis with adhesion to the fascia of the external oblique muscle. We used simple nylon 2.0 sutures along the subdermal plane to perform primary closure and continuous nylon 3.0 sutures along the intradermal plane for aesthetic closure and minimal inflammatory reaction. Her postoperative recovery was positive.
Conclusion: The best treatment for calcinosis cutis is still unclear. Treating complications becomes essential for reducing patients' morbidity and increasing their quality of life. |
| format | Article |
| id | doaj-art-78a396e4f37841d3b30cd26428e0dff6 |
| institution | DOAJ |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2019-03-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-78a396e4f37841d3b30cd26428e0dff62025-08-20T02:52:23ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352019-03-01340113413710.5935/2177-1235.2019RBCP0020Surgical resection of symptomatic calcinosis in a patient with systemic sclerosisCaio Pundek Garcia0Natalia Biancha Rendon1Carlo Mognon Mattiello2Flávia Cristina de Novaes Gerber3Jorge Bins-Ely4Hospital Universitário, Universidade Federal de Santa Catarina, Florianópolis, SC, BrazilHospital Universitário, Universidade Federal de Santa Catarina, Florianópolis, SC, BrazilHospital Universitário, Universidade Federal de Santa Catarina, Florianópolis, SC, BrazilHospital Universitário, Universidade Federal de Santa Catarina, Florianópolis, SC, BrazilHospital Universitário, Universidade Federal de Santa Catarina, Florianópolis, SC, BrazilIntroduction: Systemic sclerosis is a rare, autoimmune, progressive disease that affects connective tissues and internal organs by inflammation, which can cause calcinosis cutis. It can progress to painful and disabling conditions, and can become infected, especially when skin ulceration is present. Objective: To present a case of calcinosis in the inguinal region and its surgical recovery. Case Report: A female patient with calcinosis in the bilateral inguinal region presenting with moderate/severe pain had a failed clinical treatment. We performed surgical resection of the calcinosis cutis, which had formed clusters of fibrosis with adhesion to the fascia of the external oblique muscle. We used simple nylon 2.0 sutures along the subdermal plane to perform primary closure and continuous nylon 3.0 sutures along the intradermal plane for aesthetic closure and minimal inflammatory reaction. Her postoperative recovery was positive. Conclusion: The best treatment for calcinosis cutis is still unclear. Treating complications becomes essential for reducing patients' morbidity and increasing their quality of life.http://www.rbcp.org.br/export-pdf/2357/en_v34n1a20.pdfsclerosiscalcinosisreconstructive surgical proceduresoperative surgical proceduresrheumatology |
| spellingShingle | Caio Pundek Garcia Natalia Biancha Rendon Carlo Mognon Mattiello Flávia Cristina de Novaes Gerber Jorge Bins-Ely Surgical resection of symptomatic calcinosis in a patient with systemic sclerosis Revista Brasileira de Cirurgia Plástica sclerosis calcinosis reconstructive surgical procedures operative surgical procedures rheumatology |
| title | Surgical resection of symptomatic calcinosis in a
patient with systemic sclerosis |
| title_full | Surgical resection of symptomatic calcinosis in a
patient with systemic sclerosis |
| title_fullStr | Surgical resection of symptomatic calcinosis in a
patient with systemic sclerosis |
| title_full_unstemmed | Surgical resection of symptomatic calcinosis in a
patient with systemic sclerosis |
| title_short | Surgical resection of symptomatic calcinosis in a
patient with systemic sclerosis |
| title_sort | surgical resection of symptomatic calcinosis in a patient with systemic sclerosis |
| topic | sclerosis calcinosis reconstructive surgical procedures operative surgical procedures rheumatology |
| url | http://www.rbcp.org.br/export-pdf/2357/en_v34n1a20.pdf |
| work_keys_str_mv | AT caiopundekgarcia surgicalresectionofsymptomaticcalcinosisinapatientwithsystemicsclerosis AT nataliabiancharendon surgicalresectionofsymptomaticcalcinosisinapatientwithsystemicsclerosis AT carlomognonmattiello surgicalresectionofsymptomaticcalcinosisinapatientwithsystemicsclerosis AT flaviacristinadenovaesgerber surgicalresectionofsymptomaticcalcinosisinapatientwithsystemicsclerosis AT jorgebinsely surgicalresectionofsymptomaticcalcinosisinapatientwithsystemicsclerosis |