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Excision of Calcinosis Cutis Caused by Moxibustion Burn Injury Using Intraoperative Ultrasonography Determining the Complete Resection Range
Journal of Korean Burn Society 2021;24(2):34-37
Published online December 1, 2021
© 2021 Journal of Korean Burn Society.

Hyeong Rae Ryu, M.D., Hwan Jun Choi, M.D., Ph.D., Jun Hyuk Kim, M.D., Ph.D., Da Woon Lee, M.D., and Hyein Ahn, M.D., Ph.D.1

Departments of Plastic and Reconstructive Surgery and 1Pathology, College of Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea
Correspondence to: Hwan Jun Choi, Department of Plastic and Reconstructive Surgery, Soonchunhyang University Cheonan Hospital, 31 Sooncheonhyang 6-gil, Dongnam-gu, Cheonan 31151, Korea
Tel: 82-41-570-2195, Fax: 82-41-574-6133
E-mail: iprskorea@gmail.com
Received June 29, 2021; Revised August 14, 2021; Accepted August 15, 2021.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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 postoperative 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 : Moxibustion, Calcinosis cutis, Resection range, Ultrasonography

December 2021, 24 (2)
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