The Case | Inflammatory polyarthritis in a kidney transplant recipient

A 52-year-old man underwent live donor kidney transplantation for end-stage kidney disease in 2001 (20 years post-transplant). His maintenance immunosuppressive therapy was tacrolimus, azathioprine, and prednisolone. He had chronic allograft dysfunction (serum creatinine level of 3 mg/dl). Twenty years post-transplant, he presented with pain and swelling of small joints of the hand of 4 months duration, along with early morning stiffness. On examination, he had swelling and tenderness of bilateral wrist, metacarpophalangeal joints, and proximal interphalangeal joints.
Source: Kidney International - Category: Urology & Nephrology Authors: Tags: Make Your Diagnosis Source Type: research