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Metastatic Calcinosis Cutis: A Case in a Child with Acute Pre-B Cell Lymphoblastic Leukemia
Hypercalcemia in children with malignancy is an uncommon condition. It has been described in leukemia patients with impaired renal excretion of calcium or osteolytic lesions. Metastatic calcinosis cutis (MCC) may develop if hypercalcemia persists. We report the case of a 5-year-old girl with an atyp...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540989/ https://www.ncbi.nlm.nih.gov/pubmed/26346120 http://dx.doi.org/10.1155/2015/384821 |
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author | Castanedo-Cázares, Juan Pablo Reyes-Herrera, Amalia Hernández-Blanco, Diana Oros-Ovalle, Cuauhtémoc Torres-Álvarez, Bertha |
author_facet | Castanedo-Cázares, Juan Pablo Reyes-Herrera, Amalia Hernández-Blanco, Diana Oros-Ovalle, Cuauhtémoc Torres-Álvarez, Bertha |
author_sort | Castanedo-Cázares, Juan Pablo |
collection | PubMed |
description | Hypercalcemia in children with malignancy is an uncommon condition. It has been described in leukemia patients with impaired renal excretion of calcium or osteolytic lesions. Metastatic calcinosis cutis (MCC) may develop if hypercalcemia persists. We report the case of a 5-year-old girl with an atypical dermatosis and unspecific gastrointestinal symptoms. Considered clinical diagnoses were xanthomas, histiocytosis, molluscum contagiosum, and nongenital warts. Cutaneous histological analysis showed amorphous basophilic deposits in the dermis suggestive of calcium deposits. Laboratory tests confirmed serum hypercalcemia. Extensive investigations such as bone marrow biopsy established the diagnosis of an acute pre-B cell lymphoblastic leukemia. Hypercalcemia in hematopoietic malignancies is unusual, especially as initial manifestation of the disease. Careful review of the literature fails to reveal previous reports of these peculiar cutaneous lesions of MCC in children with leukemia. |
format | Online Article Text |
id | pubmed-4540989 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-45409892015-09-06 Metastatic Calcinosis Cutis: A Case in a Child with Acute Pre-B Cell Lymphoblastic Leukemia Castanedo-Cázares, Juan Pablo Reyes-Herrera, Amalia Hernández-Blanco, Diana Oros-Ovalle, Cuauhtémoc Torres-Álvarez, Bertha Case Rep Hematol Case Report Hypercalcemia in children with malignancy is an uncommon condition. It has been described in leukemia patients with impaired renal excretion of calcium or osteolytic lesions. Metastatic calcinosis cutis (MCC) may develop if hypercalcemia persists. We report the case of a 5-year-old girl with an atypical dermatosis and unspecific gastrointestinal symptoms. Considered clinical diagnoses were xanthomas, histiocytosis, molluscum contagiosum, and nongenital warts. Cutaneous histological analysis showed amorphous basophilic deposits in the dermis suggestive of calcium deposits. Laboratory tests confirmed serum hypercalcemia. Extensive investigations such as bone marrow biopsy established the diagnosis of an acute pre-B cell lymphoblastic leukemia. Hypercalcemia in hematopoietic malignancies is unusual, especially as initial manifestation of the disease. Careful review of the literature fails to reveal previous reports of these peculiar cutaneous lesions of MCC in children with leukemia. Hindawi Publishing Corporation 2015 2015-08-05 /pmc/articles/PMC4540989/ /pubmed/26346120 http://dx.doi.org/10.1155/2015/384821 Text en Copyright © 2015 Juan Pablo Castanedo-Cázares et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Castanedo-Cázares, Juan Pablo Reyes-Herrera, Amalia Hernández-Blanco, Diana Oros-Ovalle, Cuauhtémoc Torres-Álvarez, Bertha Metastatic Calcinosis Cutis: A Case in a Child with Acute Pre-B Cell Lymphoblastic Leukemia |
title | Metastatic Calcinosis Cutis: A Case in a Child with Acute Pre-B Cell Lymphoblastic Leukemia |
title_full | Metastatic Calcinosis Cutis: A Case in a Child with Acute Pre-B Cell Lymphoblastic Leukemia |
title_fullStr | Metastatic Calcinosis Cutis: A Case in a Child with Acute Pre-B Cell Lymphoblastic Leukemia |
title_full_unstemmed | Metastatic Calcinosis Cutis: A Case in a Child with Acute Pre-B Cell Lymphoblastic Leukemia |
title_short | Metastatic Calcinosis Cutis: A Case in a Child with Acute Pre-B Cell Lymphoblastic Leukemia |
title_sort | metastatic calcinosis cutis: a case in a child with acute pre-b cell lymphoblastic leukemia |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540989/ https://www.ncbi.nlm.nih.gov/pubmed/26346120 http://dx.doi.org/10.1155/2015/384821 |
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