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We provide an internist's perspective of this problems encountered in terms of the available management choices, whilst the patient progressively deteriorated in the regular medical floor prompting transfer towards the intensive care device. Copyright © 2020, Ahmed et al.Calcifying uremic arteriolopathy (CUA), also called calciphylaxis, refers to the calcification of this wall space regarding the arteries of medium and small-caliber, causing ischemic skin damage. Diag