ACR Image Competition 2022 Results, Part 2

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Tumoral Calcinosis in Systemic Sclerosis

Plain radiograph and computed tomography images depict calcinosis in the region of the right shoulder, left elbow and cervical spine of a 71-year-old woman with a 20-year history of systemic sclerosis. Manifestations include high-titer anti-Scl-70 antibody, diffuse skin involvement, Raynaud’s syndrome, acro-osteolysis, gastroesophageal reflux disease, interstitial lung disease and complete heart block.

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Recently, extensive tumoral calcinosis has been the most challenging manifestation of her systemic sclerosis due to chronic pain and impairment of functional activities.

Jonathan T. Cheah, MBBS, is an assistant professor of medicine in the Division of Rheumatology, UMass Chan Medical School, Worcester, Mass.