PMC6341244_01
Palpable nodules (arrows) over the right arm.
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fig1
Multiple fixed hard masses were palpable over both arms and thighs, but not painful, tender, or erythematous (Figures 1 and 2).
Palpable nodules (arrows) over the right thigh.
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fig2
Multiple fixed hard masses were palpable over both arms and thighs, but not painful, tender, or erythematous (Figures 1 and 2).
X-ray of the right arm showing soft tissue calcifications.
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fig3
X-rays of the arms (Figure 3) and thighs revealed extensive soft tissue calcifications.
Microscopy of the biopsied mass from the left arm showing foreign body granulomatous reaction (high power view, 200 X). Foreign bodies (silicone materials) are shown by black arrows. These are surrounded by multi-nucleated giant cells (white arrows).
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fig4
Biopsy of the calcified mass on the left arm demonstrated dystrophic calcifications and foreign body granulomatous reaction (Figure 4).
Graph showing serum calcium of patient during presentations.
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fig5
For the past year, she has had multiple admissions with hypercalcemia and its complications (Figure 5).