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BMJ 2011; 342 doi: (Published 27 April 2011) Cite this as: BMJ 2011;342:d2538
  1. Neeraj Dhaun, specialist registrar and research fellow,
  2. Laura Montgomery, core training year 2,
  3. Caroline Whitworth, consultant,
  4. Jeremy Hughes, consultant,
  5. James Harper, radiologist
  1. 1Department of Renal Medicine, Royal Infirmary of Edinburgh, Edinburgh EH16 4SA, UK
  1. bean.dhaun{at}

This patient undergoing haemodialysis, developed progressive painful necrotic areas on both legs. Skin biopsy and radiographs showing diffuse small vessel …

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