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Body’s life-saving signal to initiate urgent dialysis
  1. Alejandra Vargas,
  2. Spencer O. Moen
  1. Eastern Virginia Medical School, Norfolk, Virginia, USA
  1. Correspondence to Dr Alejandra Vargas; vargasa{at}evms.edu

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Clinical introduction

A 50-year-old man presented to the ED with a 3-week history of weakness and malaise. Upon examination, he was found to have a distinctive fetor and a fine whitish powdery deposit covering his body, especially prominent on his face (figure 1).

Figure 1

Yellow-white urea crystals deposited on the skin.

The skin findings are shown.

Question

What is the most likely diagnosis for this patient?

  1. Seborrhoeic dermatitis

  2. Eczema

  3. Uraemic frost

  4. Calciphylaxis …

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Footnotes

  • Handling editor Sarah Edwards

  • X @Alejand05165477

  • Contributors Both authors contributed to the care of the patient. AV provided the study conception and design and drafted the manuscript. SOM was responsible for editing the article and gave final approval of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.