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Firm Plaque of the Forearm in a Patient With Hodgkin Lymphoma
Mary Davis Gibney, MD;
Dee Anna Glaser, MD
Saint Louis University Health Sciences Center, St Louis, Mo
Arch Dermatol. 1998;134:97-102.
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REPORT OF A CASE
A 26-year-old man with stage IV Hodgkin lymphoma developed a firm plaque on his left forearm 1 week before evaluation. Two months earlier, a hospital admission for chemotherapy had been complicated by renal failure, respiratory failure requiring prolonged ventilatory support, Staphylococcus aureus and Candida tropicalis septicemia, and repeated episodes of pneumonia. On the volar surface of his left forearm, an irregular 2x2-cm, pink, indurated plaque containing firm, crusted, yellow-white papules was noted; a linear subcutaneous plaque coursed proximally from the main lesion (Figure 1). A skin biopsy specimen with special staining is shown in Figure 2.
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Figure 1.
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Figure 2.
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What is your diagnosis?
DIAGNOSIS: Calcinosis cutis secondary to calcium chloride infusion.
During the first 2 weeks of his hospitalization, the patient received a total of 13 ampules of either calcium chloride or calcium gluconate. Only once did he receive an infusion (of calcium chloride) . . . [Full Text of this Article]
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