Calcific Uremic Arteriolopathy (calciphylaxis) - Hand photo and XRay Based on this image, what is the likely diagnosis in this patient with end-stage kidney disease on dialysis? Answer: Calcific uremic arteriolopathy (calciphylaxis) - clinical syndrome of arteriolar calcification -> tissue necrosis, most commonly seen in patients with ESKD. Note necrotic lesions on the fingers + extensive vascular calcifications visible on the plain radiograph. https://www.ncbi.nlm.nih.gov/pmc/ar - Abhilash Koratala MD @NephroP #calciphylaxis #Calcific #Uremic #Arteriolopathy #Hand #photo #XRay #clinical