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Case Reports
. 2013 Nov 19:2013:bcr2013200755.
doi: 10.1136/bcr-2013-200755.

Multiple tendon xanthomas in patient with heterozygous familial hypercholesterolaemia: sonographic and MRI findings

Emine Dagistan  1 , Arzu Canan, Betul Kizildag, Abdullah Yuksel Barut
Affiliations
Case Reports

Multiple tendon xanthomas in patient with heterozygous familial hypercholesterolaemia: sonographic and MRI findings

Emine Dagistan et al. BMJ Case Rep. .

Abstract

Tendon xanthomas are a component of familial hypercholesterolaemia, which is a hereditary disease and characterised by elevated low-density lipo protein cholesterol plasma levels and premature coronary artery disease. Tendon xanthomas are diagnostic for heterozygous familial hypercholesterolaemia (HFH) and they mostly occur in Achilles tendon. Sonography and MRI are superior to clinical assessment and are useful in detecting tendon xanthomas. In this report, we present ultrasonographic and MRI findings of multiple tendon xanthomas in a case of HFH.

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Figures

Figure 1
Figure 1
T1-weighted axial spin-echo images of the right ankle showing the enlargement of Achilles tendon, focal areas with high signal intensity in it and the similar findings in the other tendons (arrows).
Figure 2
Figure 2
Sagittal short tau inversion recovery images of the left ankle is demonstrating focal areas increased signal intensity in Achilles tendon and plantar fasia (arrows).
Figure 3
Figure 3
T1-weighted axial spin-echo images of the right hand is showing focal areas increased signal intensity both in extensor and flexor tendons (arrows).
See this image and copyright information in PMC

References

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