Abstract
The case of a 46-year-old woman with juvenile dermatomyositis (JDM) and extensive cutaneous calcinosis is presented. The first calcific lesions appeared at 18 months and they progressed in size and number along the following 44 years while muscle involvement subsided. A life-long clinical and radiologic follow-up is available showing a progressive formation of diffuse calcinosis. Oral diltiazem has proved to be effective in avoiding new calcifications.
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