History: There are 4 types of calcinosis cutis, these are dystrophic, metastatic, iatrogenic and idiopathic. This 19-year-old female presented with many firm to hard white to skin-colored asymptomatic papules involving the fingertips and elbow extensors. Skin biopsy was typical of calcinosis cutis and on investigations she had elevated levels of calcium and parathyroid hormone.