Presentation
Left ankle pain since months, the patient had a family history of hypercholesterolemia.
Patient Data
Age: 30 years
Gender: Male
From the case:
Achilles tendon xanthoma
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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.
From the case:
Achilles tendon xanthoma
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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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