Osseous metaplasia in the setting of nephrogenic fibrosing dermopathy.

Background: Nephrogenic fibrosing dermopathy (NFD) is a new skin-fibrosing disorder associated with renal dysfunction. It is marked by the acute onset of induration involving the upper and lower limbs, and it is characterized by distinctive histopathologic findings.

Methods: We report the case of a patient on hemodialysis who presented initially with the characteristic clinical and pathological features of NFD.