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Correspondence |

Surgical Debridement of Painful Fingertip Calcinosis Cutis in CREST Syndrome

Nicole Saddic, MS; Jeffrey J. Miller, MD; O. Fred Miller III, MD; Jennie T. Clarke, MD
Arch Dermatol. 2009;145(2):212-213. doi:10.1001/archderm.145.2.212-b.
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Painful fingertip calcinosis cutis causes substantial morbidity in patients with CREST syndrome (calcinosis, Raynaud phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia), also called limited cutaneous scleroderma. Medical therapy for this condition is uniformly disappointing.

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Figure 1.

Clinical photographs of our subject patient. A, Painful keratotic plaque on the tip of the left hand’s third finger. B, Calcium in the deep dermis exposed after removal of the callus. C, Healed wound after 4 months.

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Figure 2.

In this radiograph of our subject patient, a lobulated, 4 × 4-mm calcific density is plainly visible at the tip of the distal phalanx of the left hand’s third finger.

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