title: Morphological and functional evaluation of visual disturbances in a bilateral hand allograft recipient.
abstract: Allograft recipients are exposed to risks owing to immunosuppression, and there is always the possibility that psychological issues interfere with the procedure's outcomes. An episode of blindness was suspected in a bilateral hand allograft recipient. The patient underwent a multidisciplinary evaluation, and clinical, electrophysiological, laboratory and a combination of functional and morphological magnetic resonance imaging (MRI) tests ruled out any visual process and revealed a secondary benefit, which turned out to be the use of privileges of the transplant support centre for several months. Composite tissue allograft recipients require a thorough psychological assessment before and after transplant procedures to prevent malingering.
authors.affiliation: Plastic & Reconstructive Surgery Division, La Fe University Hospital, Valencia, Spain. landin@ya.com
authors.forename: L
authors.initials: L
authors.lastname: Landin
authors.forename: P C
authors.initials: PC
authors.lastname: Cavadas
authors.forename: P
authors.initials: P
authors.lastname: Nthumba
authors.forename: G
authors.initials: G
authors.lastname: Muñoz
authors.forename: R
authors.initials: R
authors.lastname: Gallego
authors.forename: V
authors.initials: V
authors.lastname: Belloch
authors.forename: C
authors.initials: C
authors.lastname: Avila
authors.forename: M
authors.initials: M
authors.lastname: Loro
authors.forename: J
authors.initials: J
authors.lastname: Ibañez
authors.forename: I
authors.initials: I
authors.lastname: Roger
authors.forename: N
authors.initials: N
authors.lastname: Linares-Martinez
mesh_terms: D003937:Diagnosis, Differential; D004596:Electroretinography; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013315:Stress, Psychological / Q000150:complications*; D016378:Tissue Transplantation / Q000009:adverse effects*; D014184:Transplantation, Homologous; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D014792:Visual Acuity / Q000502:physiology*
chemical_list: D007166:Immunosuppressive Agents