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Calcinosis cutis reffers to a group of disorders in which calcium deposits are being formed in the skin. Depending on the pathophysiologic mechanisms, calcinosis cutis has been classified as metastatic, dystrophic, idiopathic, or iatrogenic (1). In connective tissue diseases, calcinosis is mostly of the dystrophic type and it seems to be a localized process rather than an imbalance of calcium homeostasis (2). Juvenile dermatomyositis (JDM) is a systemic, autoimmune inflammatory muscle disorder and a small vessel vasculopathy that affects children younger than 18 years, primarily the skin and the skeletal muscles (3). Calcinosis cutis occurs in 20-40% of patients with JDM (4). Some severe cases may be associated with advanced calcinosis but the exact mechanism that leads to their development and spreading remains unclear.

An extensive precipitation of calcium in subcutaneous tissue in patient with juvenile dermatomyositis