Delayed Onset Low Molecular Weight Heparin Induced Skin Necrosis on a Hemodialysis Patient

Delayed onset low molecular weight heparin induced skin necrosis is a rare adverse event. It usually occurs at the site of injection, and typically develops within 2 weeks starting therapy. However, in our case, we presented 62-year-old woman who on Hemodialysis twice week. Her hemodialysis prescription included Enoxaparine 0.2 cc IV as anticoagulant. On her third month regular hemodialysis, she developed right leg left hand. The diagnosis was made clinically by exclusion other possible causes chronic kidney disease patient, such calciphylaxis. most important aspect management, this early recognition withdrawal its use, which were done patient.