Reactive Perforating Collagenosis in End-Stage Renal Disease: Not All that Itches Is Uremic Pruritis!

A 51-year-old woman with a history of end-stage renal disease, hypertension, and diabetes mellitus type 2 who had been on hemodialysis for 4 years presented with an extremely itchy diffuse skin rash that she initially noticed 2 weeks prior to presentation. The itching was significant enough to impair her quality of life, and she had tried applying various over-the-counter anti-itch creams without much relief. Examination of the skin was notable for diffusely scattered blackish hyperpigmented, dome-shaped, umbilicated papules, some coalescing into plaques on the trunk and extremities.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Clinical Communication to the Editor Source Type: research