eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2017-05-27 5 5 113 115 10.12691/ajmcr-5-5-2 AJMCR2017552 article Nagadarshini Ramagiri Vinod 1 Hassan Tahir Hassantahir_01@hotmail.com 1 Saad Ullah 1 Hassan Zeb 1 Arslan Ahmed 2 Temple University/Conemaugh Memorial Hospital Johnstown, PA, USA Social Security Hospital, Lahore, Pakistan Calciphylaxis is rare complication of end stage renal disease on hemodialysis. Calciphylaxis closely mimics warfarin induced skin necrosis in dialysis patients who are being started on coumadin thus posing a diagnostic challenge. Skin biopsy may be required in such cases to confirm the diagnosis. http://pubs.sciepub.com/ajmcr/5/5/2/ajmcr-5-5-2.pdf warfarin skin necrosis caliphylaxis