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Juvenile Dermatomyositis: A Case of Calcinosis Cutis of the Elbow and Review of the Literature

Welborn, Michelle C. MD*; Gottschalk, Hilton MD; Bindra, Randip MD

Journal of Pediatric Orthopaedics: July/August 2015 - Volume 35 - Issue 5 - p e43–e46
doi: 10.1097/BPO.0000000000000358
Upper Extremity

Juvenile dermatomyositis is a rare, chronic autoimmune disorder commonly associated with calcinosis cutis. Although great advances have been made in the treatment of juvenile dermatomyositis, little progress has been made in the treatment of calcinosis cutis. It remains resistant to medical treatment and surgical intervention has long been avoided due to early reports of poor wound healing and sinus track formation associated with the surgical excision of calcinosis cutis. The literature on management of calcinosis cutis is sparse and the aim of this paper is to review the literature regarding treatment options for calcinosis cutis and present a case with a large mass involving the elbow that was successfully treated with surgical excision and local fasciocutaneous flap.

*Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT

Department of Orthopaedic Surgery, Loyola University, Chicago, IL

The authors declare no conflicts of interest.

Reprints: Michelle C. Welborn, MD, 751 W. Brompton Ave 2e, Chicago, IL 60657. E-mail:

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