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An Unusual Case of Xanthoma of Bilateral Achilles Tendon with Gouty Infiltration: A Rare Case Report

Achilles tendon xanthoma is a benign and rare disease with a high incidence in patients having familial hypercholesterolemia. Patients present with or without pain and thickened tendons. Gout is seen in patients with hyperuricemia. Coexistence of xanthoma and gout is extremely rare. We searched the...

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Autores principales: Khatoon, Heena M., Srirambhatla, Annapurna, Sharma, Abhimanyu, Sankepally, Poojitha, Arora, Abhishek J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289843/
https://www.ncbi.nlm.nih.gov/pubmed/37362369
http://dx.doi.org/10.1055/s-0043-1762934
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author Khatoon, Heena M.
Srirambhatla, Annapurna
Sharma, Abhimanyu
Sankepally, Poojitha
Arora, Abhishek J.
author_facet Khatoon, Heena M.
Srirambhatla, Annapurna
Sharma, Abhimanyu
Sankepally, Poojitha
Arora, Abhishek J.
author_sort Khatoon, Heena M.
collection PubMed
description Achilles tendon xanthoma is a benign and rare disease with a high incidence in patients having familial hypercholesterolemia. Patients present with or without pain and thickened tendons. Gout is seen in patients with hyperuricemia. Coexistence of xanthoma and gout is extremely rare. We searched the PubMed literature with ‘Xanthoma’ and ‘Gout’ as keywords and could find only one case report. Imaging modalities such as radiography and ultrasonography, play a vital role in diagnosing this condition early, hence helping the patient to commence the use of potentially lifesaving lipid-lowering therapeutic agents. Magnetic resonance imaging is helpful in delineating the morphological changes, exact measurements, and eventually in treatment planning. It helps to rule out early involvement of other tendons by the same pathology. We present a case of a 25-year-old male patient who presented to our institute with bilateral large symmetrical swelling in the posterior aspects of ankles for 4 years, with normal serum and blood parameters. Bilaterality, enormous size and normal blood and serum parameters make this case unique.
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spelling pubmed-102898432023-06-24 An Unusual Case of Xanthoma of Bilateral Achilles Tendon with Gouty Infiltration: A Rare Case Report Khatoon, Heena M. Srirambhatla, Annapurna Sharma, Abhimanyu Sankepally, Poojitha Arora, Abhishek J. Indian J Radiol Imaging Achilles tendon xanthoma is a benign and rare disease with a high incidence in patients having familial hypercholesterolemia. Patients present with or without pain and thickened tendons. Gout is seen in patients with hyperuricemia. Coexistence of xanthoma and gout is extremely rare. We searched the PubMed literature with ‘Xanthoma’ and ‘Gout’ as keywords and could find only one case report. Imaging modalities such as radiography and ultrasonography, play a vital role in diagnosing this condition early, hence helping the patient to commence the use of potentially lifesaving lipid-lowering therapeutic agents. Magnetic resonance imaging is helpful in delineating the morphological changes, exact measurements, and eventually in treatment planning. It helps to rule out early involvement of other tendons by the same pathology. We present a case of a 25-year-old male patient who presented to our institute with bilateral large symmetrical swelling in the posterior aspects of ankles for 4 years, with normal serum and blood parameters. Bilaterality, enormous size and normal blood and serum parameters make this case unique. Thieme Medical and Scientific Publishers Pvt. Ltd. 2023-03-04 /pmc/articles/PMC10289843/ /pubmed/37362369 http://dx.doi.org/10.1055/s-0043-1762934 Text en Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Khatoon, Heena M.
Srirambhatla, Annapurna
Sharma, Abhimanyu
Sankepally, Poojitha
Arora, Abhishek J.
An Unusual Case of Xanthoma of Bilateral Achilles Tendon with Gouty Infiltration: A Rare Case Report
title An Unusual Case of Xanthoma of Bilateral Achilles Tendon with Gouty Infiltration: A Rare Case Report
title_full An Unusual Case of Xanthoma of Bilateral Achilles Tendon with Gouty Infiltration: A Rare Case Report
title_fullStr An Unusual Case of Xanthoma of Bilateral Achilles Tendon with Gouty Infiltration: A Rare Case Report
title_full_unstemmed An Unusual Case of Xanthoma of Bilateral Achilles Tendon with Gouty Infiltration: A Rare Case Report
title_short An Unusual Case of Xanthoma of Bilateral Achilles Tendon with Gouty Infiltration: A Rare Case Report
title_sort unusual case of xanthoma of bilateral achilles tendon with gouty infiltration: a rare case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289843/
https://www.ncbi.nlm.nih.gov/pubmed/37362369
http://dx.doi.org/10.1055/s-0043-1762934
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