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Dystrophic Calcification of Epidermoid Cysts

James M. Swinehart, MD; Loren E. Golitz, MD

Arch Dermatol. 1982;118(12):985-988.

Abstract
• Scrotal calcinosis, consisting of solitary or multiple circumscribed deposits of calcium within the dermis of the scrotum, has generally been assumed to be idiopathic. We have recently examined three patients in whom scrotal epidermoid cysts in varying stages of inflammation coexisted with scrotal calcinosis. Some cysts showed calcification of their keratin contents with little evidence of active inflammation. Other cysts showed rupture of their epithelial walls associated with the presence of keratin fibers, granulomatous inflammation, and calcium granules in the surrounding dermis. It seems that so-called idiopathic scrotal calcinosis may represent the end stage of dystrophic calcification associated with the inflammation of scrotal epidermoid cysts.

(Arch Dermatol 1982;118:985-988)

Author Affiliations
From the Department of Dermatology, University of Colorado School of Medicine, Denver.

Footnotes
Accepted for publication Jan 6, 1982.

Read before the Gross and Microscopic Dermatology Symposium at the 39th annual meeting of the American Academy of Dermatology, New York, Dec 7, 1980.

Reprints not available.

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