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A 70-year-old man was admitted to the hospital for evaluation of thickening of the skin. Four years earlier, he had undergone kidney transplantation for hypertension-induced end-stage renal disease. Two months before this admission, hemodialysis was reinitiated because of allograft failure. At that time, magnetic resonance angiography of the transplanted kidney with gadolinium enhancement showed no evidence of renal-artery stenosis. Examination revealed flexion contracture of his right elbow with prominent induration of the skin. The skin of his legs and lower abdomen was also affected, but that of his upper abdomen, chest, left (dominant) arm, and face was spared. Biopsy revealed . . . [Full Text of this Article] |
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