Department of Radiology and Radiological Science, Medical University of South Carolina, 96 Jonathan Lucas Street, MSC 323, Charleston, SC 29425, USA.
Skeletal Radiol. 2013 Sep;42(9):1311-5. doi: 10.1007/s00256-013-1616-5. Epub 2013 Apr 25.
Post-transplant distal limb bone marrow edema syndrome or calcineurin inhibitor-induced pain syndrome (CIPS) is generally a self-limiting but debilitating acute pain syndrome that has been reported in 2-14 % of renal transplant recipients. The disease is extensively described in the transplant literature in patients receiving the calcineurin inhibitors cyclosporine and tacrolimus. We present a case of CIPS arising in a patient 73 days after renal allograft, review the imaging findings, and discuss proposed etiologies and differential diagnoses. To the authors' knowledge, CIPS has not been characterized as a distinct entity in the radiology literature.
移植后远端肢体骨髓水肿综合征或钙调神经磷酸酶抑制剂诱导的疼痛综合征(CIPS)通常是一种自限性但使人虚弱的急性疼痛综合征,在 2-14%的肾移植受者中已有报道。这种疾病在接受钙调神经磷酸酶抑制剂环孢素和他克莫司的移植患者的文献中已有广泛描述。我们报告了一例肾移植后 73 天发生的 CIPS 病例,回顾了影像学表现,并讨论了提出的病因和鉴别诊断。据作者所知,CIPS 在放射学文献中尚未被描述为一种独特的实体。