Nodular Excision for Painful Localized Achilles Tendon Xanthomas in Type II Hyperlipoproteinemia: A Case Report

Abstract Achilles tendon xanthomas are often associated with type II hyperlipoproteinemia, in which low-density lipoprotein derived from the circulation accumulates in the tendons. Sometimes coronary artery disease can jeopardize the life of the patient if the condition is neglected. We describe the...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2011-09, Vol.50 (5), p.603-606
Main Authors: Ahn, Jae Hoon, MD, Chun, Tong-Jin, MD, Lee, Sahng, MD
Format: Article
Language:English
Subjects:
Achilles Tendon - pathology
Achilles Tendon - surgery
ankle
Biological and medical sciences
cholesterol
Diseases of the osteoarticular system
Disorders of blood lipids. Hyperlipoproteinemia
Female
foot
Humans
Hyperlipoproteinemia Type II - complications
lipid
Magnetic Resonance Imaging
Medical sciences
Metabolic diseases
Middle Aged
Orthopedics
statin
surgery
Ultrasonography, Doppler
Xanthomatosis - etiology
Xanthomatosis - pathology
Xanthomatosis - surgery
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Summary:Abstract Achilles tendon xanthomas are often associated with type II hyperlipoproteinemia, in which low-density lipoprotein derived from the circulation accumulates in the tendons. Sometimes coronary artery disease can jeopardize the life of the patient if the condition is neglected. We describe the case of bilateral painful Achilles tendon xanthomas in a heterozygous type II hyperlipoproteinemia family. Her symptoms were not alleviated despite anti-inflammatory medication and eccentric exercise for 6 months. She was treated with nodular excision of the xanthomas bilaterally and then with postoperative statins to avoid recurrence.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2011.04.020