Dystrophic calcification (
DC) is the calcification occurring in degenerated or necrotic tissue, as in hyalinized scars, degenerated foci in
leiomyomas, and
caseous nodules. This occurs as a reaction to tissue damage, including as a consequence of medical device implantation. Dystrophic calcification can occur even if the amount of calcium in the blood is not elevated. (A systemic mineral imbalance would elevate calcium levels in the blood and all tissues and cause
metastatic calcification.)
Basophilic calcium salt deposits aggregate, first in the mitochondria, and progressively throughout the cell. These calcifications are an indication of previous microscopic cell injury. It occurs in areas of cell necrosis in which activated
phosphatases bind calcium ions to phospholipids in the membrane.