Case Presentation: 44 year-old male with ESRD on HD complicated by tertiary hyperparathyroidism, possible calciphylaxis on treatment with sodium thiosulfate, possible adrenal insufficiency on steroids, antithrombin III deficiency with prior pulmonary and splenic infarcts on Coumadin who developed a diffuse cutaneous skin eruption during a recent admission after being on antibiotics for possible pneumonia. He [...]

Case Presentation: A 60 year-old man with a past medical history of end-stage renal disease (ESRD) on hemodialysis (HD) was admitted after a becoming hypotensive during dialysis. The patient denied any fevers or chills, but endorsed progressive malaise and increased pain on the tip of his penis. Physical exam was significant for a blood pressure [...]

Case Presentation: 69 year old woman with atrial fibrillation on warfarin and unspecified connective tissue disease on prednisone presented to the emergency department (ED) with worsening, painful bilateral lower extremity skin lesions. She noted a mildly painful, non-healing left leg wound 3 months prior to presentation; then a 2nd similar lesion appeared on her right [...]

Case Presentation: A 51year-old female presented with one week of worsening pain and malodorous drainage from a chronic breast wound. Her PMH included HTN induced ESRD on HD. Her wound started 6 months ago as a red rash that grew in size and became tender and ulcerative. Work up thus far included imaging such as [...]