Exploring a rare case of Idiopathic Scrotal Calcinosis: A case report

Idiopathic Scrotal Calcinosis (ISC) is a rare, benign dermatological condition that primarily affects the scrotal skin. It is characterized by the spontaneous deposition of calcium within the dermis, leading to the formation of multiple asymptomatic calcified nodules. ISC is diagnosed through clinical evaluation, with confirmation via histological examination. Surgical intervention is the most effective treatment for this condition. We present the case of a 37-year-old male who developed idiopathic scrotal calcinosis, a rare disorder marked by calcium deposition in the scrotal skin. The patient first noticed multiple mildly itchy nodular masses on his scrotum 6 months ago. These masses appeared suddenly, but progressively increased in size, causing discomfort and affecting his sexual function psychologically. On physical examination, multiple well-demarcated, high-density nodules, ranging from 70 to 10 mm, were observed diffusely across the scrotal skin. The patient underwent surgical resection of the lesions, with a single-step excision and primary closure. The post-operative recovery was uneventful. Histopathological examination confirmed the diagnosis of calcinosis cutis, consistent with skin calcium deposition in the scrotum. Scrotal calcinosis is a rare yet distinct dermatological condition that requires surgical excision for both diagnosis and treatment leading to favorable outcomes and patient satisfaction.