Aspectos de imagem do xantoma do tendão calcâneo na ultrassonografia e ressonância magnética | Zendy

Eloy de Ávila Fernandes | Zendy; Eduardo Henrique Sena Santos | Zendy; Tatiana Cardoso de Mello Tucunduva | Zendy; Antonio J. L. Ferrari | Zendy; Artur da Rocha Corrêa Fernandes | Zendy

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Aspectos de imagem do xantoma do tendão calcâneo na ultrassonografia e ressonância magnética

Author(s) -

Eloy de Ávila Fernandes,

Eduardo Henrique Sena Santos,

Tatiana Cardoso de Mello Tucunduva,

Antonio J. L. Ferrari,

Artur da Rocha Corrêa Fernandes

Publication year - 2014

Publication title -

revista brasileira de reumatologia

Language(s) - English

Resource type - Journals

eISSN - 1809-4570

pISSN - 0482-5004

DOI - 10.1016/j.rbr.2013.12.003

Subject(s) - medicine , achilles tendon , magnetic resonance imaging , differential diagnosis , ultrasound , radiology , tendon , pathology

The Achilles tendon xanthoma is a rare disease and has a high association with primary hyperlipidemia. An early diagnosis is essential to start treatment and change the disease course. Imaging exams can enhance diagnosis. This study reports the case of a 60-year-old man having painless nodules on his elbows and Achilles tendons without typical gout crisis, followed in the microcrystalline disease clinic of Unifesp for diagnostic workup. Laboratory tests obtained showed dyslipidemia. The ultrasound (US) showed a diffuse Achilles tendon thickening with hypoechoic areas. Magnetic resonance imaging (MRI) showed a diffuse tendon thickening with intermediate signal areas, and a reticulate pattern within. Imaging studies showed relevant aspects to diagnose a xanthoma, thus helping in the differential diagnosis.

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