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Calcinosis cutis includes dystrophic, metabolic, iatrogenic, and idiopathic subtypes. One variant of idiopathic calcinosis cutis is the milialike variant. A recent case report and literature review identified a total of 18 reported cases of milialike idiopathic calcinosis cutis in children.¹ To our knowledge, only 6 cases have been reported in patients without Down syndrome.^1-4 We present a case of generalized milialike idiopathic calcinosis cutis in a child without Down syndrome.

Report of a Case

A 5-year-old African American girl presented with a 1.5-year history of multiple pruritic skin-colored and white papules on her chin, neck, trunk, intertriginous areas, and extremities (Figure 1). Her condition did not improve under treatment with topical steroids. Her medical history was significant for reactive airway disease, mild pulmonary artery stenosis, and a small atrial septal defect. From a cardiac standpoint, she was asymptomatic and stable. There were no stigmata of Down syndrome, connective tissue disease, or metabolic . . . [Full Text of this Article]

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AUTHOR INFORMATION
Jessica N. Mehta, MD; David R. Berk, MD; Sonali G. Hanson, MD; Anne C. Lind, MD; Susan Bayliss Mallory, MD