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Visual Treats in Dermatology
2022
:2;
49
doi:
10.25259/CSDM_41_2022

Scrotal calcinosis

Department of Dermatology, AIIMS Rishikesh, Rishikesh, Uttarakhand, India
Corresponding author: Anmol Batra, Department of Dermatology, AIIMS Rishikesh, Rishikesh, Uttarakhand, India. anmolbatra9@gmail.com
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Batra A, Hazarika N. Scrotal calcinosis. CosmoDerma 2022;2:49.

A 24-year-old man presented with a 5-year history of numerous asymptomatic nodules of the scrotal skin which had been slowly progressing in number and size. Physical examination revealed multiple discrete and confluent, white-yellowish subcutaneous nodules measuring 0.2-2.5 cm in diameter attached to the scrotal skin [Figure 1]. The nodules were nontender and firm on palpation. Histopathological examination revealed calcium deposition within the dermis. Laboratory parameters did reveal any calcium/phosphorus imbalance. Based on the above characteristic description, a diagnosis of scrotal calcinosis was made.

Figure 1:: Multiple nontender discrete and confluent, white-yellowish firm subcutaneous nodules measuring 0.2-2.5 cm in diameter attached to the scrotal skin.

Scrotal calcinosis is a rare and typically benign condition, predominantly affecting young men. The nodules are mostly asymptomatic, although some patients report itching, heaviness, and discharge of chalky material. These are not associated with any hormonal or metabolic abnormalities. The cause of the condition is debated but is likely related to the dystrophic calcification of pre-existent epidermal cysts, hair follicle cysts, or eccrine duct milia.[1] Surgical excision of the affected area and direct closure or use of flaps/grafts is generally regarded as the standard treatment.

Declaration of patient consent

Patient’s consent not required as patients identity is not disclosed or compromised.

Financial support and sponsorship

Nil.

Conflict of interest

There are no conflicts of interest.

References

  1. , , , , , . Idiopathic scrotal calcinosis: A non-elucidated pathogenesis and its surgical treatment. Rev Urol. 2011;13:95-7.
    [PubMed] [Google Scholar]

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