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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Tingling In Feet, Ankles, Freckle Like Appearances After Liver Transplant Indicate?

I recently had a liver transplant (7 weeks ago); my blood work looks good and I am now somewhat active. A month ago I developed tingling'pins and needles' in the top of my feet and ankles. Soon after I developed what looks like freckles on the same areas. Today they have spread up my legs and onto my chest. They are very small but many. I am also developing larger, darker ones, scattered about. The tingling in the feet and ankles remain but not as painful. What is going on? Are these indeed freckles or are they something else ie a rash, broken vessels...?
Fri, 25 Aug 2017
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  User's Response
Hi there,

The most common cause of the feeling of pins and needles after liver transplant is neuropathy, which can be secondary to your transplant medications. I'm not sure what is causing your freckles. Usually, immunosuppressive medications for your transplant can cause you to be more at risk for skin cancers, but 7 weeks out is a little soon. This sounds more like a rash, and I'd try some benadryl and see if this helps. I'd make sure that you follow up with your transplant surgeon as soon as you can, and let him know about this. In general, transplant patients should also see a dermatologist regularly, as they are at very high risk for skin cancers, and should have all their regular cancer screening when scheduled. Your transplant surgeon should be very invested in your success here, so I'm sure he or she will be happy to help you.

I hope this answers your question. Please feel free to contact me if you have any further questions.
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What Does Tingling In Feet, Ankles, Freckle Like Appearances After Liver Transplant Indicate?

Hi there, The most common cause of the feeling of pins and needles after liver transplant is neuropathy, which can be secondary to your transplant medications. I m not sure what is causing your freckles. Usually, immunosuppressive medications for your transplant can cause you to be more at risk for skin cancers, but 7 weeks out is a little soon. This sounds more like a rash, and I d try some benadryl and see if this helps. I d make sure that you follow up with your transplant surgeon as soon as you can, and let him know about this. In general, transplant patients should also see a dermatologist regularly, as they are at very high risk for skin cancers, and should have all their regular cancer screening when scheduled. Your transplant surgeon should be very invested in your success here, so I m sure he or she will be happy to help you. I hope this answers your question. Please feel free to contact me if you have any further questions.