A 60-year-old female presented with progressive skin tightening and a palpable “woody feeling” in her lower extremities. She complained of difficulty while moving around. She had a past medical history of osteomyelitis and chronic diabetic kidney disease and was put on hemodialysis. She also reported being hospitalized for a minor stroke 6 months back. Physical examination: Pulse: 72 bpm B.P.: 120/70 mmHg No neurodeficit. Woody and sclerotic lower extremities with non-pitting swelling.
Laboratory findings: Serum electrolytes: Sodium- 140 mEq/L, Potassium- 4 mmol/L. Hb- 10.5 g/dL Serum creatinine- 2 mg/dL. *This case is from Docplexus Editorial Team for educative purpose only. Source: Clinical pearls in nephrology. What is the final diagnosis for this patient based on the above investigations? What would be the therapeutic management for the same?
