Abdelhadi Samer Mohamad, Kondziella Daniel, Kruse Anders, Pedersen Michael, Clasen-Linde Erik, Larsen Vibeke Andrée
Radiologisk Klinik, -Rigshospitalet, Blegdamsvej 9, 2100 København Ø.
Ugeskr Laeger. 2015 Jan 5;177(2).
A 74-year-old man presented with sensory deficits and lower limb weakness four years after a renal transplant. MRI showed an intramedullary mass at the T5 level. Following surgical excision the diagnosis post-transplant lymphoproliferative disorder (PTLD) was made. Although the frequency of PTLD is low in kidney transplant recipients (≤ 1%), it is an important differential diagnosis in a patient with new-onset neurological deficits following solid-organ transplantation.
一名74岁男性在肾移植四年后出现感觉障碍和下肢无力。MRI显示T5水平有一个髓内肿块。手术切除后诊断为移植后淋巴细胞增生性疾病（PTLD）。尽管PTLD在肾移植受者中的发生率较低（≤1%），但在实体器官移植后出现新发神经功能缺损的患者中，它是一个重要的鉴别诊断。
