Calciphylaxis with facial involvement

Calciphylaxis presenting as progressive painful necrosis of the skin and subcutaneous tissue in patients of chronic renal failure is increasingly recognized owing to the greater awareness of the condition w1–11x. Pathogenesis remains uncertain and specific therapy is debatable. We report a case with facial involvement, which to our knowledge has not been documented before. This patient subsequently died of septicaemia and spontaneous gastrointestinal haemorrhage. Diagnostic investigations like endoscopy and mesenteric angiogram, though planned, could not be carried out due to the poor general condition of the patient.