Ectopic Calcification: Definition, Symptoms & Treatment
Ectopic Calcification
Your bones are hard. Your skin and organs are soft. Well, imagine the problems if your body made your soft tissues as hard as bone? This simplified example is related to ectopic calcification. Man, is that a weird term or what? What does it even mean?
Let's start with defining 'ectopic'. If you saw a guy wearing a football helmet at a bowling alley, you'd think he was a little out of place, right? Something located or occurring out of place in the body is said to be ectopic.
Calcification refers to the biomineralization of a structure with a calcium-based substance, such as hydroxyapatite.
So, more broadly, when we say ectopic calcification, we are referring to the abnormal calcium-based mineralization of a tissue or structure. What's normally calcified in the body? Hard tissue, like bone. What's abnormally calcified in the body? Soft tissue, like skin.
Ectopic calcification is sometimes split into two very general categories:
- dystrophic calcification, where the calcification occurs in previously damaged tissues
- metastatic calcification, where the calcification occurs in (at first) healthy tissues.
Let's go over the potential signs, symptoms and treatments of ectopic calcification.
Signs & Symptoms
The signs and symptoms stemming from ectopic calcification all depend on the soft tissue organ or structure that's affected. We'll go over a few examples.
In some instances, you might be able to feel one or multiple firm lumps or bumps affecting the skin (or right underneath it). Some forms of ectopic calcification may cause pain and they might even ulcerate the skin. In other words, there might be a sore overlying the place where the calcified lump is felt. Other calcifications might end up causing a limited range of motion of a joint.
In more serious cases, such as calcification of cardiovascular structures that relate to the heart, a person may be at increased risk of heart attack or stroke.
That being said, keep in mind that in some cases there may be no noticeable signs or symptoms whatsoever. In fact, the only sign might be an incidental finding of mineralized soft tissue on an X-ray and that's it.
Treatment
The exact treatment for the ectopic calcification will depend on the situation. Sometimes, no treatment is necessary at all. In very rare cases, ectopic calcification might resolve on its own, but don't bank on it.
The underlying cause of the calcification needs to be addressed in serious cases. For instance, if a metabolic disturbance of some sort is at fault, it must be corrected so the calcification doesn't progress.
General considerations for treating the ectopic calcification may include:
- Surgical removal of the calcified tissue, especially in cases where the tissue is ulcerated, infected, or impaired as a result of the calcification.
- Breaking the calcification apart with sound waves, called extracorporeal shock wave lithotripsy.
- Medical therapy may be of some benefit in some cases, with drugs such as corticosteroids, sodium etidronate, and diltiazem.
Lesson Summary
Ectopic calcification is the abnormal deposition of calcium-based substances in soft tissue structures. 'Ectopic' refers to something out of place. 'Calcification' refers to biomineralization. The two very general forms of ectopic calcification are
- dystrophic calcification, which occurs in damaged tissues, and
- metastatic calcification, which occurs in previously healthy tissues.
Many times, there are no signs or symptoms of the calcification. But in other instances a person may:
- Feel hard lumps
- Feel pain
- Experience a limited range of motion of a joint
- Notice ulceration of the skin overlying a deposit of calcium
- Experience an increased risk of important sequela, like a heart attack or stroke
Treatment may not be necessary in asymptomatic cases. In more serious (even if asymptomatic) cases, the underlying cause of the calcification should be addressed. The calcifications themselves may be managed with surgical removal, sound wave therapy (extracorporeal shock wave lithotripsy), or treated medications such as corticosteroids.
Medical Disclaimer: The information on this site is for your information only and is not a substitute for professional medical advice.
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BackEctopic Calcification: Definition, Symptoms & Treatment
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