Indian Journal of Nuclear Medicine
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Year : 2015  |  Volume : 30  |  Issue : 4  |  Page : 360-361

Dystrophic calcification in muscles of legs in calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia syndrome: Accurate evaluation of the extent with 99mTc-methylene diphosphonate single photon emission computed tomography/computed tomography


Department of Nuclear Medicine, All Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Madhavi Tripathi
Department of Nuclear Medicine, All Institute of Medical Sciences, New Delhi
India
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Source of Support: Nil., Conflict of Interest: None declared.


DOI: 10.4103/0972-3919.159695

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We present the case of a 35-year-old man with calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly and telangiectasia variant scleroderma who presented with dysphagia, Raynaud's phenomenon and calf pain.99mTc-methylene diphosphonate bone scintigraphy was performed to identify the extent of the calcification. It revealed extensive dystrophic calcification in the left thigh and bilateral legs which was involving the muscles and was well-delineated on single photon emission computed tomography/computed tomography. Calcinosis in scleroderma usually involves the skin but can be found in deeper periarticular tissues. Myopathy is associated with a poor prognosis.


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