title: "Milk of calcium": a rare presentation of calcinosis.
abstract: Rheumatic diseases such as juvenile dermatomyositis (JDM), juvenile sistemic lupus erythematosus (JSLE) and sistemic sclerosis may have calcium deposits in the subcutaneous and muscle tissues known as calcinosis. Extensive calcium-laden fluid collections referred as "milk of calcium" are rare forms of calcinosis in JDM. We describe a 15-year old patient with overlap syndrome (sclerodermatomyositis and JSLE), whose magnetic resonance imaging (MRI) showed perimusculares fluid collections in the lower limbs. During surgery, we observed the presence of whitish fluid collection suggestive of "milk of calcium".
authors.affiliation: Hospital Infantil Municipal Menino Jesus, São Paulo, SP, Brasil.
authors.forename: Tania Caroline Monteiro
authors.initials: TC
authors.lastname: de Castro
authors.affiliation: Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Roberto
authors.initials: R
authors.lastname: Guarniero
authors.affiliation: Hospital Infantil Menino Jesus, São Paulo, SP, Brasil.
authors.forename: Maria Fernanda de Azevedo
authors.initials: MF
authors.lastname: Giacomin
authors.affiliation: Hospital Infantil Menino Jesus, São Paulo, SP, Brasil.
authors.forename: Marília Bergstron Lenzi
authors.initials: MB
authors.lastname: Meneghin
authors.affiliation: Hospital Infantil Menino Jesus, São Paulo, SP, Brasil.
authors.forename: Guilherme Bottino
authors.initials: GB
authors.lastname: Martins
authors.affiliation: Hospital Infantil Menino Jesus, São Paulo, SP, Brasil.
authors.forename: Simone de Andrade
authors.initials: Sde A
authors.lastname: Lotufo
mesh_terms: D000293:Adolescent; D002114:Calcinosis / Q000150:complications*; D003882:Dermatomyositis / Q000150:complications*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008297:Male; D009135:Muscular Diseases / Q000150:complications*