When the Cure Causes Pain: Calcineurin Inhibitor Pain Syndrome Masquerading as Fibromyalgia After Kidney Transplantation (KIDNEY WEEK 2026) - Oct 2, 2026 - Abstract #FR-PO1225; Pres time: Oct 23, 2026; 10:00 AM - 12:00 PM; Location: Exhibit Hall A, Convention Center; "Case Description A 55-year-old woman with ESKD secondary to hypertension underwent deceased-donor kidney transplantation in May 2024, maintained on tacrolimus, mycophenolate, and prednisone...Pain improved with IV fluids and gabapentin, and strength normalized to 5/5 prior to discharge. Immunosuppression was transitioned to belatacept inpatient, and the patient reported meaningful improvement in lower extremity pain at 2-month follow-up...Notably, symptoms were unilateral despite bilateral MRI findings, highlighting that asymmetry does not exclude the diagnosis. Recognition of CIPS as a CNI-mediated toxicity—rather than a pain management problem—is critical, as CNI reduction or withdrawal is the primary intervention."
Addiction (Opioid and Alcohol) • Cardiovascular • Fibromyalgia • Hypertension • Immunology • Musculoskeletal Diseases • Musculoskeletal Pain • Orthopedics • Pain • Rheumatology • Transplantation
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Gloria Paulina Rodriguez Gomez; Nathan Kudlapur; Martha Pavlakis; Leigh-Anne Dale
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