Correspondence

Medical Mystery — The Answer

N Engl J Med 2003; 349:1974November 13, 2003

Article

To the Editor:

The medical mystery in the September 25 issue1 involved a 48-year-old woman who had a 30-year history of dermatomyositis treated with prednisolone and who was admitted for depression and nausea. An abdominal radiograph was obtained. The diagnosis is calcinosis universalis, shown here by the ectopic calcification (Figure 1BFigure 1A 48-Year-Old Woman with Calcinosis Universalis.). This is a rare complication of dermatomyositis resulting from dystrophic calcification within the affected tissue. There was also skin pressure necrosis, as seen in Figure 1A.

Nicholas Magee, M.R.C.P.
Rory Convery, M.R.C.P.
Craigavon Area Hospital, Portadown BT63 5QQ, Northern Ireland

1 References

1. 1

   Magee N, Convery R. A medical mystery. N Engl J Med 2003;349:1246-1246
   Full Text | Web of Science | Medline

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