Oh that? That’s just a tumoral calcinosis spread throughout his claw-hand! This …

Oh that? That’s just a tumoral calcinosis spread throughout his claw-hand!
This is a rare hereditary condition that causes metabolic dysfunction of phosphate regulation and is associated with development of massive calcium depositions in the soft tissue in periarticular location (around joints). Patients present with lumps adjacent to joints that are painless in most cases and localized swelling with tenderness. The underlying bone isn’t affected.
The picture above shows a typical appearance of tumoral calcinosis on plain radiographs with amorphous and multilobulated (“cloud-like”) calcification located around the joints.
This disease should always be differentiated from calcinosis as a result of chronic renal failure that typically has the very same radiologic appearance and diagnosis must be based on vitamin D levels, kidney functional parameters (GFR), and history of renal failure or long term dialysis.
Complete surgical excision is advised with symptomatic lesions, otherwise observation is sufficient.
Photo by @medizzy app.

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