Reflex sympathetic dystrophy in a renal transplant patient treated with sirolimus

Abstract

Severe osteoarticular problems are common after solid organ transplantation. More specifically, unilateral foot pain can be induced by gout, fractures, avascular necrosis (due to corticosteroid treatment), foot deformities and exostosis. Bilateral foot pain after transplantation can be caused by polyneuropathy, osteoporosis and persistent hyperparathyroidism after transplantation. Recently, reflex sympathetic dystrophy as a rare complication of treatment with calcineurin-inhibitors has also been described as a cause of bilateral foot pain.