CTICasesDiffuse Skin Thickening in Chronic Kidney Disease and Diabetes
Imaging findings
A middle-aged patient with type 2 diabetes and end-stage renal disease on hemodialysis has remarkable diffuse skin thickening over the back, more pronounced above the diaphragm and less below it. The finding was present on a scan from a few years earlier, and clinical notes and exam did not address it.
Key takeaways
Chronic kidney disease, dialysis, and diabetes all have dermatologic manifestations, and this case likely reflects a combination producing more prominent skin thickening than usually seen. The distribution and lack of clinical documentation left the exact cause uncertain, illustrating an incidental soft-tissue finding to note in this patient population.
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