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...

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Main Authors: Castanedo-Cázares, Juan Pablo, Reyes-Herrera, Amalia, Hernández-Blanco, Diana, Oros-Ovalle, Cuauhtémoc, Torres-Álvarez, Bertha
Format: Online
Language:English
Published: Hindawi Publishing Corporation 2015
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540989/
id pubmed-4540989
recordtype oai_dc
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 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.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Castanedo-Cázares, Juan Pablo
Reyes-Herrera, Amalia
Hernández-Blanco, Diana
Oros-Ovalle, Cuauhtémoc
Torres-Álvarez, Bertha
spellingShingle 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
author_facet Castanedo-Cázares, Juan Pablo
Reyes-Herrera, Amalia
Hernández-Blanco, Diana
Oros-Ovalle, Cuauhtémoc
Torres-Álvarez, Bertha
author_sort Castanedo-Cázares, Juan Pablo
title 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_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_sort metastatic calcinosis cutis: a case in a child with acute pre-b cell lymphoblastic leukemia
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.
publisher Hindawi Publishing Corporation
publishDate 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4540989/
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