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Immunosuppressant Medication–Induced Lower Extremity Pain After Combined Liver and Kidney Transplant: A Case Report
Author(s) -
Mohideen Thanzeela Kausar,
Wu Hong
Publication year - 2018
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1016/j.pmrj.2017.08.442
Subject(s) - medicine , calcineurin , tacrolimus , gabapentin , neuropathic pain , complication , acupuncture , quality of life (healthcare) , kidney , abdominal pain , surgery , anesthesia , transplantation , pathology , alternative medicine , nursing
Calcineurin inhibitors are imperative in the success of a transplanted organ. However, these immunosuppressants can lead to a rare complication known as calcineurin inhibitor–induced pain syndrome, which may not be recognized early and managed appropriately. We present a case of a 35‐year‐old woman who underwent a combined liver/kidney transplant and developed lower extremity pain while being maintained on tacrolimus. This case illustrates a patient with previously reported characteristic clinical features of calcineurin inhibitor–induced pain syndrome in addition to uncharacteristic neuropathic symptoms and imaging findings. The patient was treated successfully with gabapentin, calcitonin nasal spray, and acupuncture. Early recognition of this syndrome can help improve a patient's quality of life. Level of Evidence V