Calciphylaxis denotes the presence of cutaneous gangrene secondary to the ischemic necrosis caused by vascular calcification. This is seen in patients with end stage renal disease, especially those using the renal replacement therapy. We recently encountered an elderly patient with long standing type 2 diabetes who presented with diabetic foot disease. The evaluation revealed extensive vascular calcifications along with diabetic nephropathy. In this report, we present the case details along with the interesting aspects of the calciphylaxis.