Rare case of acral calcified angioleiomyoma with macroscopic calcium extrusion

• Acral calcified angioleiomyoma (ACL) is an uncommon neoplasm arising from smooth muscle progenitors on the foot or hand.
• ACL classically presents as a non-descript papule or subcutaneous nodule, most commonly located on the foot.
• Surgical excision is the diagnostic and treatment method of choice for ACL where malignant transformation must be excluded histopathologically.

Acral calcified angioleiomyoma is an uncommon tumor that presents as a non-descript papule or subcutaneous nodule, classically on the foot. Biopsy or excision is typically the diagnostic method of choice as well as the treatment for these sometimes painful tumors. We report an uncommon clinical presentation of acral calcified angioleiomyoma with considerable extrusion of calcium perforating through the skin.