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Correspondence
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Volume 352:1723-1724 April 21, 2005 Number 16
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Case 35-2004: Nephrogenic Fibrosing Dermopathy

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by Moschella, S. L.
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To the Editor: In Case 35-2004, Moschella et al. (Nov. 18 issue)1 discuss a patient with nephrogenic fibrosing dermopathy. There is growing evidence that the fibrosis may not be restricted to the skin but may be systemic, often involving the subcutaneous tissue, fascia, skeletal muscle, heart, lungs, and other organs.2,3,4 This evidence has led us to suggest an alternative name for this disorder — "dialysis-associated systemic fibrosis."3,4 Certain features of the patient discussed in the case suggest that skeletal muscle was involved: progressive weakness, an inability to walk, prominent flexion contractures over the elbows and knees, and the "woody induration" . . . [Full Text of this Article]



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