Painful subcutaneous masses in a patient with severe psoriasis

A 53-year-old patient, with long-standing psoriasis and severe venous insufficiency, presented with a history of painful subcutaneous masses on both legs, with at least 2 months of progression. A biopsy of the lesions revealed the presence of subcutaneous calcification and ossification, probably attributed to Heinz-Lippmann disease. Thus, conservative measures for the management of chronic venous insufficiency were proposed, which resulted in significant pain reduction within 4 weeks.