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Calcinosis cutis long after rhinoplasty with silicone.

Honda Y, Tanizaki H, Otsuka A, Miyachi Y, Kabashima K - Case Rep Dermatol (2014)

Bottom Line: Rhinoplasty is a plastic surgery procedure to reconstruct the nose.In this case, calcification on the silicone surface might have transformed into gruel-like deposits, which presented as a subcutaneous mass at the dorsal area of the nose.The precise mechanism is unclear; a pH change in the tissue might have occurred during the process of inflammation, leading to the dissolution of calcified deposits.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Kyoto University Graduate School of Medicine, Kyoto, Japan.

ABSTRACT
Rhinoplasty is a plastic surgery procedure to reconstruct the nose. Silicone alloplastic materials are most widely used as implants for rhinoplasty, but calcification on the surface occurs with long-term usage. Herein, we report a case of gruel-like calcification approximately 50 years after silicone implant rhinoplasty. In this case, calcification on the silicone surface might have transformed into gruel-like deposits, which presented as a subcutaneous mass at the dorsal area of the nose. The precise mechanism is unclear; a pH change in the tissue might have occurred during the process of inflammation, leading to the dissolution of calcified deposits.

No MeSH data available.


Related in: MedlinePlus

Clinical appearance and pathological findings. a Subcutaneous mass of the nasal dorsal area (15 × 5 mm in size) that was asymptomatic and free of skin discoloration (arrow). b Superficial ultrasound test showed a subcutaneous mass with post-acoustic shadow (arrow). c X-ray image showed a high-intensity plate over the nasal dorsal area (arrow). d Histopathology demonstrating calcified deposits in the dermis and subcutaneous tissue with peripheral fibrosis (H&E, ×10).
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Figure 1: Clinical appearance and pathological findings. a Subcutaneous mass of the nasal dorsal area (15 × 5 mm in size) that was asymptomatic and free of skin discoloration (arrow). b Superficial ultrasound test showed a subcutaneous mass with post-acoustic shadow (arrow). c X-ray image showed a high-intensity plate over the nasal dorsal area (arrow). d Histopathology demonstrating calcified deposits in the dermis and subcutaneous tissue with peripheral fibrosis (H&E, ×10).

Mentions: Upon physical examination, we found a subcutaneous mass, 15 × 5 mm in size, at the dorsal nasal area (fig. 1a). The mass was elastic-hard without tenderness. A superficial ultrasound test showed a well-circumscribed subcutaneous mass with post-acoustic shadow, which indicated calcification therein (fig. 1b). X-ray and ultrasound tests showed a high-intensity plate over the dorsal nasal area (fig. 1c), indicating the silicone plate placed in her nose. Based on the clinical manifestation, the differential diagnosis included calcinosis cutis, calcifying epithelioma, foreign body granuloma and subcutaneous tumors.


Calcinosis cutis long after rhinoplasty with silicone.

Honda Y, Tanizaki H, Otsuka A, Miyachi Y, Kabashima K - Case Rep Dermatol (2014)

Clinical appearance and pathological findings. a Subcutaneous mass of the nasal dorsal area (15 × 5 mm in size) that was asymptomatic and free of skin discoloration (arrow). b Superficial ultrasound test showed a subcutaneous mass with post-acoustic shadow (arrow). c X-ray image showed a high-intensity plate over the nasal dorsal area (arrow). d Histopathology demonstrating calcified deposits in the dermis and subcutaneous tissue with peripheral fibrosis (H&E, ×10).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4307005&req=5

Figure 1: Clinical appearance and pathological findings. a Subcutaneous mass of the nasal dorsal area (15 × 5 mm in size) that was asymptomatic and free of skin discoloration (arrow). b Superficial ultrasound test showed a subcutaneous mass with post-acoustic shadow (arrow). c X-ray image showed a high-intensity plate over the nasal dorsal area (arrow). d Histopathology demonstrating calcified deposits in the dermis and subcutaneous tissue with peripheral fibrosis (H&E, ×10).
Mentions: Upon physical examination, we found a subcutaneous mass, 15 × 5 mm in size, at the dorsal nasal area (fig. 1a). The mass was elastic-hard without tenderness. A superficial ultrasound test showed a well-circumscribed subcutaneous mass with post-acoustic shadow, which indicated calcification therein (fig. 1b). X-ray and ultrasound tests showed a high-intensity plate over the dorsal nasal area (fig. 1c), indicating the silicone plate placed in her nose. Based on the clinical manifestation, the differential diagnosis included calcinosis cutis, calcifying epithelioma, foreign body granuloma and subcutaneous tumors.

Bottom Line: Rhinoplasty is a plastic surgery procedure to reconstruct the nose.In this case, calcification on the silicone surface might have transformed into gruel-like deposits, which presented as a subcutaneous mass at the dorsal area of the nose.The precise mechanism is unclear; a pH change in the tissue might have occurred during the process of inflammation, leading to the dissolution of calcified deposits.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Kyoto University Graduate School of Medicine, Kyoto, Japan.

ABSTRACT
Rhinoplasty is a plastic surgery procedure to reconstruct the nose. Silicone alloplastic materials are most widely used as implants for rhinoplasty, but calcification on the surface occurs with long-term usage. Herein, we report a case of gruel-like calcification approximately 50 years after silicone implant rhinoplasty. In this case, calcification on the silicone surface might have transformed into gruel-like deposits, which presented as a subcutaneous mass at the dorsal area of the nose. The precise mechanism is unclear; a pH change in the tissue might have occurred during the process of inflammation, leading to the dissolution of calcified deposits.

No MeSH data available.


Related in: MedlinePlus