• CDC
  • Heart Failure
  • Cardiovascular Clinical Consult
  • Adult Immunization
  • Hepatic Disease
  • Rare Disorders
  • Pediatric Immunization
  • Implementing The Topcon Ocular Telehealth Platform
  • Weight Management
  • Monkeypox
  • Guidelines
  • Men's Health
  • Psychiatry
  • Allergy
  • Nutrition
  • Women's Health
  • Cardiology
  • Substance Use
  • Pediatrics
  • Kidney Disease
  • Genetics
  • Complimentary & Alternative Medicine
  • Dermatology
  • Endocrinology
  • Oral Medicine
  • Otorhinolaryngologic Diseases
  • Pain
  • Gastrointestinal Disorders
  • Geriatrics
  • Infection
  • Musculoskeletal Disorders
  • Obesity
  • Rheumatology
  • Technology
  • Cancer
  • Nephrology
  • Anemia
  • Neurology
  • Pulmonology

Achilles Tendon Xanthomas

Article

A 51-year-old woman complained of mild pain in the Achilles tendon area of both feet. This was aggravated when she stood for prolonged periods and when she wore tight, high-heeled shoes. Physical examination results were unremarkable except for a disputable palpable thickness of the Achilles tendons, especially on the right foot.

A 51-year-old woman complained of mild pain in the Achilles tendon area of both feet. This was aggravated when she stood for prolonged periods and when she wore tight, high-heeled shoes. Physical examination results were unremarkable except for a disputable palpable thickness of the Achilles tendons, especially on the right foot.

Ultrasonography revealed hypoechoic infiltration of the right tendon (crosses). Routine laboratory tests indicated severe hypercholesterolemia: serum levels of total cholesterol, 440 mg/dL; triglycerides, 120 mg/dL; and high-density lipoprotein cholesterol, 44 mg/dL. The patient's two sons, aged 21 and 26, and her mother, aged 69, also proved to have elevated serum cholesterol values. The patient's severe hypercholesterolemia, the strong family history, and the Achilles tendon lesions (compatible with tendinous xanthomas) confirmed the diagnosis of familial hypercholesterolemia.

Drs Haralampos Milionis, Nicholas Katsarakis, and Moses Elisaf of Ioannina, Greece, thus conclude that the determination of serum cholesterol levels has value for patients with symptoms related to the Achilles tendon. Careful physical examination and ultrasonographic imaging of the tendons are also of paramount importance in assessing lesions in this area.

Related Videos
New Research Amplifies Impact of Social Determinants of Health on Cardiometabolic Measures Over Time
Preventive cardiology: primary care clinicians greatest patient exposure to help advance care.
ASCVD treatment, preventive cardiology, Seth Baum, MD
Related Content
© 2024 MJH Life Sciences

All rights reserved.