Immunosuppressant Medication –Induced Lower Extremity Pain after Combined Liver and Kidney Transplant: A Case Report

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 To be determined.
Source: PMandR - Category: Rehabilitation Source Type: research