Achilles tendon xanthoma

Case contributed by Dr Raad Al Tahat


Left ankle pain since months, the patient had a family history of hypercholesterolemia.

Patient Data

Age: 30 years
Gender: Male

The achilles tendon shows marked diffuse thickening with loss of concavity of its anterior margin.

Abnormal high intratendinous signal alternation at its mid and distal portions.



Abnormal thickening of the achilles tendon with no evidence of abnormal calcific foci. 

Case Discussion

Considering the patient's family history and radiological features; achilles tendon xanthoma is most likely, other differentials are drug-induced tendinopathy, chronic tendon degeneration, tophaceous gout.


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Case information

rID: 81076
Published: 25th Aug 2020
Last edited: 25th Aug 2020
Inclusion in quiz mode: Included

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