Case presentation A 38-year-old woman presented to a physician with complaints of persistent acral sores and livedo of her extremities with a presumed diagnosis of calciphylaxis. She had a history of end-stage renal disease (ESRD) and was on hemodialysis for the past five years. History The patient’s comorbidities included: Cardiomegaly with heart failure Bilateral pleural effusions Blurred vision Self-reported arthritis The patient recalled being healthy until her early 20s when she experienced two episodes of nephrolithiasis. Subsequently, in her early 30s, she underwent an uncomplicated pregnancy and delivery.
Later, after two months, she was hospitalized for pancreatitis and acute renal failure requiring hemodialysis. Approximately a year and a half later, she started developing woody-type fibrosis and tautness in both her upper and lower extremities. The patient had previously…
