Clinical, Cosmetic and Investigational Dermatology (Jul 2018)
Idiopathic scrotal calcinosis: report of 2 cases, and review of pathogenesis and factors that determine patients’ acceptance of surgical treatment
Abstract
Adeolu Oladayo Akinboro,1 David Adekunle Onilede,2 Taiwo Olabimpe Babatunde,3 Sebastine Oseghae Oiwoh,1 Oreoluwa Adeola Suleiman,3 Olatunde Peter Olabode4 1Dermatology Unit, Department of Internal Medicine, Ladoke Akintola University of Technology, Ogbomoso and LAUTECH Teaching Hospital, Ogbomoso, Oyo, Nigeria; 2Plastic Surgery Unit, Department of Surgery, LAUTECH Teaching Hospital, Ogbomoso, Oyo, Nigeria; 3Department of Histopathology, LAUTECH Teaching Hospital, Ogbomoso, Oyo, Nigeria; 4Department of Internal Medicine, LAUTECH Teaching Hospital, Ogbomoso, Oyo, Nigeria Introduction: Idiopathic scrotal calcinosis is a benign and rare disease of the scrotal skin that presents as solitary or multiple asymptomatic calcified nodules in the absence of systemic disorders of calcium/phosphorus balance. Case reports: We report the management of 2 cases and review the literature with comments on factors that determine acceptance or otherwise of surgical treatment. Our patients were 29 and 33 years old and presented with nodular scrotal lesions. Through multiple elliptical incisions, all nodules were excised from patient 1, but patient 2 refused surgery. Reasons for rejection included fear of future reproductive performances. Histology shows calcium deposition in basophilic globules of varying sizes and shapes within the reticular dermis, multinucleated giant cells, dense collagenous stroma, areas of fibrosis, and sparse lymphocytic infiltrate. Conclusion: In the management of idiopathic scrotal calcinosis, factors that determine acceptance of surgical treatment could include impaired quality of life, reduced self-esteem, fear of future sexual dysfunction, and development of complications. Keywords: idiopathic scrotal calcinosis, surgery, treatment
