Dystrophic Calcinosis Cutis is a skin condition that I occasionally encounter in both my The Woodlands dermatology and Conroe dermatology offices. Dystrophic Calcinosis Cutis occurs when calcium deposits in the skin due to a inflammatory process or a skin lesion that is already existing in the skin. The calcium level in the body is normal but the localized process occurring in the skin causes the calcium to precipitate in that area. Clinically, the skin appears to have white papules and/or nodules and occasionally the calcium may erupt through to the skin surface. The most common cause of Dystrophic Calcinosis is localized scleroderma (CREST). Panniculitis, inflammation of the fat layer, can also cause calcinosis. Also, cysts may develop a calcified appearance. Treatment involves excising the calcium or extruding it when the lesions become problematic.