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Many factors were unfavourable, extreme hypotension, high lactate and creatining levels, mechanical ventilation and related complications. Calciphylaxis is a rare, but serious, kidney complication. Calciphylaxia is a vasculopathy of small blood vessels characterized by the deposition of calcium deposits in intimal arterioles with the consequent proliferation of intima, fibrosis and thrombosis. The aim was to show the significance of recognition of calciphylaxis relies on heightened clinical awareness of the presence of atypical skin no