The Case | Bullous eruptions in end-stage renal failure

A 77-year-old woman of Indian ethnicity with end-stage renal failure (ESRF) had been on maintenance hemodialysis since 2012. She initially noted patches of hypertrichosis on her arms. Over the next 3 months, she developed hyperpigmentation, crusted erosions, and bullae (Figure  1). Skin and hair changes were evident on the face, forearms, and dorsum of the hands (Supplementary Figure S1). She went on to develop skin blistering, which left scars. On examination, there were crusted erosions on the forearms and intact bullae on the sides of her fingers (Figure 2).
Source: Kidney International - Category: Urology & Nephrology Authors: Tags: Make Your Diagnosis Source Type: research