{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:23:29Z","timestamp":1740126209748,"version":"3.37.3"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2020,9,2]],"date-time":"2020-09-02T00:00:00Z","timestamp":1599004800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Calcinosis cutis is a condition characterized by pathologic calcium deposition into superficial dermal skin layers. It is often associated with an autoimmune disease. However, it may also occur after minor localized trauma and infection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Description of Problem<\/jats:title>\n                  <jats:p>We report a case of lumbar epidural placement of labor analgesia in a parturient with severe dystrophic calcinosis cutis without apparent complications.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Solution<\/jats:title>\n                  <jats:p>We recommend fastidious optimization of epidural placement conditions for all patients who may be at high risk for neuraxial anesthesia, including consideration of ultrasound use, use of an experienced anesthesia provider for neuraxial placement, and placement in early labor. Additionally, judicious discussion of risks, benefits, and alternatives when obtaining informed consent is critical, ideally with the patient identified for a comprehensive visit in a preoperative obstetric anesthesia clinic before delivery.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pm\/pnaa249","type":"journal-article","created":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T19:31:30Z","timestamp":1596569490000},"page":"3237-3239","source":"Crossref","is-referenced-by-count":0,"title":["Labor Analgesia in a Patient with Severe Dystrophic Calcinosis Cutis"],"prefix":"10.1093","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2403-2042","authenticated-orcid":false,"given":"Ashley V","family":"Wong","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnoley S","family":"Abcejo","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley R D","family":"Dahl","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4232-0718","authenticated-orcid":false,"given":"Emily E","family":"Sharpe","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,9,2]]},"reference":[{"issue":"6432","key":"2020112415570196500_pnaa249-B1","doi-asserted-by":"crossref","first-page":"1723","DOI":"10.1136\/bmj.288.6432.1723","article-title":"Plumber\u2019s knee: Calcinosis cutis after repeated minor trauma in a plumber","volume":"288","author":"Ellis","year":"1984","journal-title":"Br Med J (Clin Res Ed)"},{"issue":"3","key":"2020112415570196500_pnaa249-B2","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1111\/j.1525-1470.2005.22309.x","article-title":"Calcinosis cutis following trauma","volume":"22","author":"Larralde","year":"2005","journal-title":"Pediatr Dermatol"},{"issue":"3","key":"2020112415570196500_pnaa249-B3","doi-asserted-by":"crossref","first-page":"405","DOI":"10.4103\/0259-1162.159768","article-title":"Calcinosis cutis: A rare cause for difficult airway","volume":"9","author":"Nanjundaswamy","year":"2015","journal-title":"Anesth Essays Res"},{"key":"2020112415570196500_pnaa249-B4","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.ijoa.2016.07.007","article-title":"Ultrasound to identify the lumbar space in women with impalpable bony landmarks presenting for elective caesarean delivery under spinal anaesthesia: A randomised trial","volume":"28","author":"Creaney","year":"2016","journal-title":"Int J Obstet Anesth"},{"issue":"3","key":"2020112415570196500_pnaa249-B5","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1007\/s00540-013-1726-1","article-title":"A randomized controlled trial of preinsertion ultrasound guidance for spinal anaesthesia in pregnancy: Outcomes among obese and lean parturients: Ultrasound for spinal anesthesia in pregnancy","volume":"28","author":"Sahin","year":"2014","journal-title":"J Anesth"}],"container-title":["Pain Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/painmedicine\/article-pdf\/21\/11\/3237\/34485334\/pnaa249.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/painmedicine\/article-pdf\/21\/11\/3237\/34485334\/pnaa249.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,25]],"date-time":"2020-11-25T08:18:15Z","timestamp":1606292295000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/painmedicine\/article\/21\/11\/3237\/5900446"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,2]]},"references-count":5,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2020,9,2]]},"published-print":{"date-parts":[[2020,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/pm\/pnaa249","relation":{},"ISSN":["1526-2375","1526-4637"],"issn-type":[{"type":"print","value":"1526-2375"},{"type":"electronic","value":"1526-4637"}],"subject":[],"published-other":{"date-parts":[[2020,11]]},"published":{"date-parts":[[2020,9,2]]}}}