In the first report of Bedouin Arabs with tumoral calcinosis, three Sa
udi Arabian male siblings and their female first cousin with the condi
tion are described. In tumoral calcinosis the majority of cases are fa
milial, These patients had associated hyperphosphataemia with normal r
enal function, The characteristic appearance of periarticular soft tis
sue calcified masses was present. Two of the cases developed calcific
myelitis of long bones - a recognized complication of the disease. Two
have widespread arterial calcification, which has not previously been
described, Two cases have other unusual features; one has a calcified
mass which has destroyed the blade of the scapula, whilst another dev
eloped a large tumoral mass on the posterior aspect of the knee.