Abstract
Calcinosis cutis is a rare but significant pathological condition that can present diagnostic and therapeutic challenges. It typically presents as firm nodules or plaques with extensive calcifications that lead to ulceration and sinus tract formation. We present a case of 44 years old female with calcinosis cutis presenting as multiple draining sinuses, a rare and severe manifestation of the disease. The patient developed chronic, non-healing ulcers with intermittent discharge of chalky material, significantly impacting quality of life. Diagnosis was confirmed through clinical examination, imaging, and histopathology. Management was challenging, requiring a combination of wound care, medical therapy, and surgical intervention. This case highlights the importance of early recognition and a multidisciplinary approach to prevent complications and improve outcomes in patients with severe calcinosis cutis.