Journal of the Korean Burn Society (대한화상학회지)

Korean Burn Society (대한화상학회)
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Excision of Calcinosis Cutis Caused by Moxibustion Burn Injury Using Intraoperative Ultrasonography Determining the Complete Resection Range

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  • Ryu, Hyeong Rae (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Choi, Hwan Jun (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Kim, Jun Hyuk (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Lee, Da Woon (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University Cheonan Hospital) ;
  • Ahn, Hyein (Department of Pathology, College of Medicine, Soonchunhyang University Cheonan Hospital)
  • 류형래 (순천향대학교 천안병원 성형외과) ;
  • 최환준 (순천향대학교 천안병원 성형외과) ;
  • 김준혁 (순천향대학교 천안병원 성형외과) ;
  • 이다운 (순천향대학교 천안병원 성형외과) ;
  • 안혜인 (순천향대학교 천안병원 병리학과)
  • Received : 2021.06.29
  • Accepted : 2021.08.15
  • Published : 2021.12.31
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Abstract

A 46-year-old female presented a mass on her right lower leg where she had a burn injury due to moxibustion 10 years ago. Physical examination revealed a 3 cm sized firm nodule with tenderness. Plain radiograph was performed and it revealed well-defined calcifications. According to the history of moxibustion burn injury and the result of plain radiograph, dystrophic calcinosis cutis caused by burn injury was suspected. The patient underwent excisional biopsy using pre-,intra-, and post-operative ultrasonography (USG). There was no sign of recurrence. Herein, we report a case of a 46-year-old healthy woman who presented with single hard nodule on the right lower leg. Our case is worthwhile in two respects. First, It is first case report of dystrophic calcinosis cutis due to moxibustion burn injury. In east asian culture, moxibustion is a commonly conducted procedure and it often induces burn injury. Second, USG was used pre-, intra-, and post-operatively to assess the shape, location, and depth of the calcinosis cutis and to determine the surgical margin.

Keywords

Acknowledgement

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (2020R1A2C1100891), and was supported by Soonchunhyang University research fund.

References

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