Radiology Case Reports (Jul 2020)

MR imaging findings of calcinosis cutis in primary Sjogren syndrome, a rare manifestation

  • Paul L. Wasserman, DO, MHCM,
  • Carissa Wiesler, MD,
  • Chandana Kurra, MD,
  • Reeba Omman, MD,
  • Kristin Taylor, MD,
  • Ruchir Puri, MD

Journal volume & issue
Vol. 15, no. 7
pp. 1029 – 1038

Abstract

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Soft tissue calcifications associated with various connective tissue diseases such as dermatomyositis and scleroderma have been well documented Plaque-like sheets of subcutaneous calcifications presenting as an indurated soft tissue mass in a patient with primary Sjogren syndrome have been rarely documented in the literature. We present the magnetic resonance and conventional radiographic findings of calcinosis cutis and calcinosis circumscripta of a 47-year-old woman with biopsy proven Sjogren syndrome. We also delineate various types of soft tissue calcification, histopathology of calcinosis cutis, and current treatment options. Recognizing the magnetic resonance characteristics of this phenomenon may prove useful to radiologists, especially in the absence of clinical history and conventional radiographs.

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