title: Nodular excision for painful localized Achilles tendon xanthomas in type II hyperlipoproteinemia: a case report.
abstract: Achilles tendon xanthomas are often associated with type II hyperlipoproteinemia, in which low-density lipoprotein derived from the circulation accumulates in the tendons. Sometimes coronary artery disease can jeopardize the life of the patient if the condition is neglected. We describe the case of bilateral painful Achilles tendon xanthomas in a heterozygous type II hyperlipoproteinemia family. Her symptoms were not alleviated despite anti-inflammatory medication and eccentric exercise for 6 months. She was treated with nodular excision of the xanthomas bilaterally and then with postoperative statins to avoid recurrence.
authors.affiliation: Department of Orthopaedic Surgery, The Catholic University of Korea, Seoul, Korea.
authors.forename: Jae Hoon
authors.initials: JH
authors.lastname: Ahn
authors.forename: Tong-Jin
authors.initials: TJ
authors.lastname: Chun
authors.forename: Sahng
authors.initials: S
authors.lastname: Lee
mesh_terms: D000125:Achilles Tendon / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D006938:Hyperlipoproteinemia Type II / Q000150:complications*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D018608:Ultrasonography, Doppler; D014973:Xanthomatosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery*