title: Severe calcinosis cutis with cutaneous ulceration in juvenile dermatomyositis.
abstract: BACKGROUND
  Calcinosis cutis is usually seen in long standing and untreated cases of juvenile dermatomyositis.
  
  
  METHODS
  7-year-old girl with severe calcinosis cutis who developed cutaneous ulceration, rash and myopathy.
  
  
  METHODS
  Myopathic changes in EMG, muscle edema in MRI, elevated muscle enzymes and Jo-1 positive antibodies.
  
  
  RESULTS
  Treatment with prednisolone and methotrexate resulted in improvement of the lesion.
  
  
  CONCLUSIONS
  Calcinosis cutis may be a presenting feature of juvenile dermatomyositis even in the absence of characteristic findings of rash and weakness.
authors.affiliation: Department of Paediatrics, Sardar Vallavbhai Patel Post Graduate Institute of Paediatrics, SCB Medical College, Cuttack; and *Department of Rheumatology, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India. Correspondence to: Dr Bijay Kumar Meher, 34/B, Vima Bihar, Sector-6, CDA, Cuttack, Odisha, India. bkmeher187@yahoo.co.in.
authors.forename: Bijay Kumar
authors.initials: BK
authors.lastname: Meher
authors.forename: Pravakar
authors.initials: P
authors.lastname: Mishra
authors.forename: Pradeep
authors.initials: P
authors.lastname: Sivaraj
authors.forename: Prasanta
authors.initials: P
authors.lastname: Padhan
mesh_terms: D002114:Calcinosis; D002648:Child; D003882:Dermatomyositis; D005260:Female; D006801:Humans; D012883:Skin Ulcer