Welborn Michelle C, Gottschalk Hilton, Bindra Randip
*Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT †Department of Orthopaedic Surgery, Loyola University, Chicago, IL.
J Pediatr Orthop. 2015 Jul-Aug;35(5):e43-6. doi: 10.1097/BPO.0000000000000358.
Juvenile dermatomyositis is a rare, chronic autoimmune disorder commonly associated with calcinosis cutis. Although great advances have been made in the treatment of juvenile dermatomyositis, little progress has been made in the treatment of calcinosis cutis. It remains resistant to medical treatment and surgical intervention has long been avoided due to early reports of poor wound healing and sinus track formation associated with the surgical excision of calcinosis cutis. The literature on management of calcinosis cutis is sparse and the aim of this paper is to review the literature regarding treatment options for calcinosis cutis and present a case with a large mass involving the elbow that was successfully treated with surgical excision and local fasciocutaneous flap.
青少年皮肌炎是一种罕见的慢性自身免疫性疾病，通常与皮肤钙质沉着症相关。尽管在青少年皮肌炎的治疗方面已取得了巨大进展，但在皮肤钙质沉着症的治疗上进展甚微。它对药物治疗具有抗性，并且由于早期有报道称与皮肤钙质沉着症手术切除相关的伤口愈合不良和窦道形成，长期以来一直避免进行手术干预。关于皮肤钙质沉着症管理的文献稀少，本文的目的是回顾有关皮肤钙质沉着症治疗选择的文献，并呈现一例肘部有巨大肿物的病例，该病例通过手术切除和局部筋膜皮瓣成功治愈。
