Calcific uraemic arteriolopathy is a small vessel vasculopathy occurring almost exclusively in patients with renal failure. Violaceous mottling of the lower limbs, buttocks or lower abdomen precedes the development of painful, necrotic, non-healing ulcers. We report two atypical manifestations of calcific uraemic arteriolopathy and highlight a condition which is seen increasingly frequently as the number of patients undertaking dialysis continues to rise.
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