Clinical Images

Skin Lesions in a Patient on Dialysis

 (Figure 1)

Based on article published in JGIM, Feb 2013 by Rokadia HK and Nagarajan V.

 A 65-year-old man with type II diabetes mellitus and end-stage renal disease on dialysis presented with painful lesions on both hands. He has been on hemodialysis for 6 years. These skin lesions have been present in  the past 3 months. He otherwise had no complaints. Skin examination showed purplish tender macules on fingertips and ulceration of hypothenar eminence on both hands (Figure 1). Peripheral pulses were strong bilaterally. Reminder of the physical examinations was unremarkable.

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