Siddiqui, S.Ahmed, G.Qaisar, H.Wahid, Z.Talat, H.2025-08-212025-08-212016https://hdl.handle.net/20.500.14572/1869S. Siddiqui Post Graduate Trainee, Department of Dermatology, Civil Hospital, Karachi G. Ahmed Research Assistant, Department of Medicine, Civil Hospital, Karachi H. Qaisar Medical Student, Dow University of Health Sciences, Karachi Z. Wahid Professor &Head of Dermatology Department, Civil Hospital, Karachi H. Talat Assistant Professor, Department of Dermatology,Civil Hospital, KarachiAbstract: A case of idiopathic tumoral calcinosis cutis in a normocalcemic patient. The lesions were localized to multiple large and small joints throughout the body and confirmed on biopsy. The lesions are refractory to intralesional steroids, aluminum hydroxide and diltiazem after 5 months. The patient is being considered for surgical intervention for large lesions while he will be further tried on dialitiazem for the smaller ones. Keywords: Calcinosis Cutis, Tumoral, Refractory, Diltiazemen-USArticle