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Journal of Bone and Joint Surgery, 1973;55:1197-1211.
© 1973 by The Journal of Bone and Joint Surgery, Inc

Xanthoma of the Achilles Tendon

SEVEN CASES WITH FAMILIAL HYPERBETALIPOPROTEINEMIA

JOHN J. FAHEY M.D.1, HERBERT H. STARK M.D.2, WILLIAM F. DONOVAN M.D.3, and DENIS B. DRENNAN M.D.1

1 1791 West Howard Street, Chicago, Illinois 60626
2 2300 South Hope Street, Los Angeles, California 90007
3 1948 West Albion, Chicago, Illinois 60626

Seven patients with xanthomas in the Achilles tendons and associated Type-II hyperbetalipoproteinemia are reported. Resection of the lesion in four patients was successful, and there was only one recurrence after six years. Two patients had painful xanthomas of their plantar fascia, similar to the involvement of the Achilles tendons. One had a resection of the plantar lesion. Of 173 cases of Achilles tendon xanthoma found in the English literature, 119 with adequate data are tabulated. Autosomal dominant inheritance and frequent association with extensor-tendon xanthomas of the hands and with tuberous xanthomas were noted. A strong tendency to recurrence was observed in surgically removed Achilles tendon lesions. Surgical intervention is carried out for cosmetic and symptomatic reasons.


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