Case report: We present an interesting case of Osteoma Cutis in a 70 year old women with a large plaque lesion on the scalp and multiple nodules with discharging sinuses in the fingers of both the hands since 30 years. Discussion: Osteoma Cutis is a rare slow growing, benign ossifying disorder characterized by deposition of bony nodules in the dermis and occurs more frequently in women. There are two types of Osteoma cutis ,Primary and Secondary. Primary Osteoma Cutis is characterized by denovo bone formation in the skin. Secondary Osteoma Cutis is more common, seen in 85% of cases, as a sequel of various disorders. Conclusion: The final diagnosis of Osteoma Cutis cases are based on clinical features, clinical evaluation, phosphorous- calcium metabolism, skin biopsy and radiological imaging.