Supportive treatments included wound care, pain control, and empiric antibiotics, a regimen that our patient received.2 Kidney transplantation and parathyroidectomies have shown complete resolution of wounds in patients with renal disease or elevated parathyroid hormone levels in patients who were unresponsive to medical management.11,12 No literature is available at this time to determine if a liver transplant in cirrhotic patients leads to complete resolution of the dermatologic disease. The gene discussed is PTH; the disease is kidney disorder.