Back to Journals » Clinical, Cosmetic and Investigational Dermatology » Volume 11

Idiopathic scrotal calcinosis: report of 2 cases, and review of pathogenesis and factors that determine patients’ acceptance of surgical treatment

Authors Akinboro AO, Onilede DA, Babatunde TO, Oiwoh SO, Suleiman OA, Olabode OP

Received 18 May 2017

Accepted for publication 7 September 2017

Published 11 July 2018 Volume 2018:11 Pages 333—337

DOI https://doi.org/10.2147/CCID.S142101

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Jeffrey Weinberg


Adeolu Oladayo Akinboro,1 David Adekunle Onilede,2 Taiwo Olabimpe Babatunde,3 Sebastine Oseghae Oiwoh,1 Oreoluwa Adeola Suleiman,3 Olatunde Peter Olabode4

1Dermatology Unit, Department of Internal Medicine, Ladoke Akintola University of Technology, Ogbomoso and LAUTECH Teaching Hospital, Ogbomoso, Oyo, Nigeria; 2Plastic Surgery Unit, Department of Surgery, LAUTECH Teaching Hospital, Ogbomoso, Oyo, Nigeria; 3Department of Histopathology, LAUTECH Teaching Hospital, Ogbomoso, Oyo, Nigeria; 4Department of Internal Medicine, LAUTECH Teaching Hospital, Ogbomoso, Oyo, Nigeria

Introduction: Idiopathic scrotal calcinosis is a benign and rare disease of the scrotal skin that presents as solitary or multiple asymptomatic calcified nodules in the absence of systemic disorders of calcium/phosphorus balance.
Case reports: We report the management of 2 cases and review the literature with comments on factors that determine acceptance or otherwise of surgical treatment. Our patients were 29 and 33 years old and presented with nodular scrotal lesions. Through multiple elliptical incisions, all nodules were excised from patient 1, but patient 2 refused surgery. Reasons for rejection included fear of future reproductive performances. Histology shows calcium deposition in basophilic globules of varying sizes and shapes within the reticular dermis, multinucleated giant cells, dense collagenous stroma, areas of fibrosis, and sparse lymphocytic infiltrate.
Conclusion: In the management of idiopathic scrotal calcinosis, factors that determine acceptance of surgical treatment could include impaired quality of life, reduced self-esteem, fear of future sexual dysfunction, and development of complications.

Keywords: idiopathic scrotal calcinosis, surgery, treatment

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]