Dermatological Disease in Patients With CKD

Acquired perforating dermatosis seen on the leg of a dialysis patient. (Printed with permission from Martins J, Rivera M, Carillo-Gijon R, Teruel JL, Ortuno J: Acquired perforating dermatosis in a peritoneal dialysis patient. Kidney Int 71:832, 2007.)

Skin biopsy specimen of acquired perforating dermatosis shows a dilated follicle with keratinous and necrotic debris. The follicular epithelium is disrupted with dermal collagen entering the perforation. (Printed with permission from Martins J, Rivera M, Carrillo-Gijon R, Teruel JL, Ortuno J. Acquired perforating dermatosis in a peritoneal dialysis patient. Kidney Int 71:832, 2007.)

Early lesion of calcific uremic arteriolopathy shows violaceous area (arrow) with no skin breakdown.

Calcific uremic arteriolopathy of the breast. Adapted with permission from Li G, Polokoff EG, Panait L, Roer D. Semin Dial 20:91-92, 2007.

Inner thighs of a young woman who reported increasing pain for 2 days before the development of lesions consistent with calcific uremic arteriolopathy.

Forearm of a patient with nephrogenic systemic fibrosis shows thickening of the skin with peau d’orange appearance. (Reprinted with permission from Cowper SE. Nephrogenic fibrosing dermopathy [NFD/NSF Website]. 2001-2007. Available at: http://www.icnfdr.org. Accessed June 7, 2007.)

Foot image from a patient with nephrogenic systemic fibrosis shows thickening of the skin with peau d’orange appearance. (Reprinted with permission from Cowper SE. Nephrogenic fibrosing dermopathy [NFD/NSF Website]. 2001-2007. Available at: http://www.icnfdr.org. Accessed June 7, 2007.)

Skin biopsy from a patient with nephrogenic systemic fibrosis shows thickened dermis and increased collagen bundles with interstitial mucin deposition at low power. (Reprinted with permission from Cowper SE. Nephrogenic fibrosing dermopathy [NFD/NSF Website]. 2001-2007. Available at: http://www.icnfdr.org. Accessed June 7, 2007.)

Skin biopsy from a patient with nephrogenic systemic fibrosis shows thickened dermis and increased collagen bundles with interstitial mucin deposition at high power. (Reprinted with permission from Cowper SE. Nephrogenic fibrosing dermopathy [NFD/NSF Website]. 2001-2007. Available at: http://www.icnfdr.org. Accessed June 7, 2007.)