PMC2946589_01
The appearance of our patient's bilateral thigh wounds showing firm cutaneous lesions that were exquisitely tender. The lesions are located in the proximal lower extremity on the lateral aspects of the thighs.
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This is the case of a 56-year-old Caucasian woman with extensive medical problems who initially presented with bilateral firm thigh lesions that are extremely painful and tender to touch (Figure 1).
Skin biopsy with demonstration of vascular calcifications.
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Histologically, there were extensive calcifications within the subcutaneous tissue and small blood vessels (Figures 2 and 3).
Skin biopsy with demonstration of cutaneous deposition of calcifications in addition to the vascular calcifications.
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Histologically, there were extensive calcifications within the subcutaneous tissue and small blood vessels (Figures 2 and 3).
Evidence of primary hyperparathyroidism with hyperplastic cells within the parathyroid tissue. A paucity of adipose tissue is visible in the gland, suggesting the presence of a hyperplastic parathyroid.
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Surprisingly, the patient was also found to have four normal parathyroids but an aberrantly located adenoma within the thymic tissue of the mediastinum, weighing 0.62 grams (Figure 4).