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Fig. 2 —Both cases of nephrogenic systemic fibrosis (NSF) discovered in our local outpatient dialysis center's population exclusively followed at our institution were diagnosed in our dermatology department and were archived in our dermatopathology database. Five additional cases of NSF were discovered in dermatopathology database, two of which were followed up at dialysis centers in other cities, whereas the other three never required treatment at outpatient dialysis center.