title: (99m)Tc-methylene diphosphonate bone scintigraphy findings in posttransplant distal limb syndrome.
abstract: We report a case of posttransplant distal limb syndrome (PTDLS) representing a rare complication in kidney transplant recipients characterized by a pain syndrome of the distal extremities. A 68-year-old man with a history of kidney transplantation presented with symmetrical and incapacitating pain in the feet and knees and underwent whole-body Tc-methylene diphosphonate (MDP) scintigraphy for further evaluation. Planar scintigraphy demonstrated marked tracer uptake in the distal femoral and tibial epiphyses, and magnetic resonance imaging showed corresponding osteoedema. Tc-MDP scintigraphy is a valuable tool for evaluation of the etiology of musculoskeletal pain and may demonstrate typical findings in case of PTDLS.
authors.affiliation: From the Department of Diagnostic and Interventional Radiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: Thorsten
authors.initials: T
authors.lastname: Derlin
authors.forename: Jasmin D
authors.initials: JD
authors.lastname: Busch
authors.forename: Peter
authors.initials: P
authors.lastname: Bannas
mesh_terms: D000368:Aged; D001842:Bone and Bones / Q000000981:diagnostic imaging*; D005121:Extremities / Q000000981:diagnostic imaging* / Q000473:pathology*; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D010146:Pain / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D013577:Syndrome; D013669:Technetium Tc 99m Medronate
chemical_list: D013669:Technetium Tc 99m Medronate