A woman with diabetes mellitus and end-stage renal disease who was undergoing hemodialysis presented with fever,

A 53-year-old woman with diabetes mellitus and end-stage renal disease who was undergoing hemodialysis presented with fever,

Question

A 53-year-old woman with diabetes mellitus and end-stage renal disease who was undergoing hemodialysis presented with fever, painful finger necrosis, and nonhealing ulceration of the legs.

Hand radiographs is taken What is the abnormality ?

Scleroderma
Thromboangiitis obliterans
Calciphylaxis
Hypoparathyroidism
Osteomyelitis

 

 

Created by USMLE PlAB MCQ

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