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Fig 1.

Patient selection criteria.

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Table 1.

Summary of clinical characteristics.

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Table 2.

Association between clinical and histological features a.

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Fig 2.

Representative images of skin lesions with various clinical and histological features.

(A): Clinical image of an ulcer with black eschar and irregular violaceous border and surrounding erythema. (B): Non-ulcerated calciphylaxis lesions with plaque morphology and surrounding retiform purpura. (C): Erythematous lesions of calciphylaxis. (D): Histopathology of cutaneous calciphylaxis demonstrating ulceration, marked dermal necrosis, fibrointimal hyperplasia of a calcified medium sized vessel and subcutaneous fat necrosis with foci of acute inflammation (hematoxylin & eosin, 40x original magnification). (E): A von Kossa stain reveals presence of stippled peri-eccrine calcification (von Kossa stain, 600x original magnification). Panel F: Intravascular thrombosis in the deep dermis (hematoxylin & eosin stain, 200x original magnification).

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Fig 3.

Distribution of study cohort according to the Mayo Clinic criteria [4], for likelihood of calciphylaxis diagnosis.

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