Abstract
Introduction: Idiopathic scrotal calcinosis is a dermatosurgical disorder affecting the scrotal skin and needs surgical excision. It is characterized by multiple calcified nodules on the scrotal skin. It is limited to scrotal skin and has been classified under calcinosis cutis. Although considered to be a metabolic disorder, the serum calcium remains normal in all patients. Scanty reports of idiopathic scrotal calcinosis are available in literature. Case Report: We report one such case of idiopathic scrotal calcinosis in a 65-year-old male, presenting with multiple painless nodules which were yellowish white and painless involving whole of scrotum. This patient was treated with surgical excision of the involved skin. Conclusion: This case report conveys the message that idiopathic scrotal calcinosis presentation can be large involving whole of scrotum. The picture is classical not to be confused with multiple sebaceous cysts of scrotum. (This page in not part of the published article.) International Journal of Case Reports and Images, Vol. 7 No. 4, April 2016. ISSN – [0976-3198] Int J Case Rep Imag 2016;7(4):221–223. www.ijcasereportsandimages.com Arora 221 CASE REPORT OPEN ACCESS Idiopathic scrotal calcinosis: A dermatosurgical disease
Highlights
Hypereosinophilic syndrome (HES) can be a multisystem disorder due to direct end-organ damage by eosinophilia, and can rarely present with life-threatening features
We present a case of multi-organ failure secondary to eosinophilia related to medications
Case report: A 66-year-old woman with a recent diagnosis of asthma on montelukast, presented with excruciating pains of sudden onset in her lower limbs, and on admission, she was found to be in multi-organ failure
Summary
Eosinophilia refers to an absolute count of eosinophils >500/ml in the peripheral blood [1]. The patient described excruciating shooting pains in all muscle groups in her right leg, to the point that on presentation she was unable to weight bear, and had to be wheeled into the department. The patient was on montelukast 10 mg once daily and lansoprazole 30 mg once daily On further questioning, she admitted to having had recurrent chest infections and asthma exacerbations over the last few months prior to her current presentation, requiring steroids and antibiotics every 2–3 weeks. On further follow-up post-montelukast cessation and steroid withdraw, patient remained well and asymptomatic, with repeated bloods with normal blood count and eosinophilic values, having not required further treatment and in particular immunosuppression, making montelukast the main differential diagnosis for the patient’s life threatening presentation
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
