Abstract
Achilles tendon xanthoma is a benign and rare disease with a high incidence in patients
having familial hypercholesterolemia. Patients present with or without pain and thickened
tendons. Gout is seen in patients with hyperuricemia. Coexistence of xanthoma and
gout is extremely rare. We searched the PubMed literature with ‘Xanthoma’ and ‘Gout’
as keywords and could find only one case report. Imaging modalities such as radiography
and ultrasonography, play a vital role in diagnosing this condition early, hence helping
the patient to commence the use of potentially lifesaving lipid-lowering therapeutic
agents. Magnetic resonance imaging is helpful in delineating the morphological changes,
exact measurements, and eventually in treatment planning. It helps to rule out early
involvement of other tendons by the same pathology. We present a case of a 25-year-old
male patient who presented to our institute with bilateral large symmetrical swelling
in the posterior aspects of ankles for 4 years, with normal serum and blood parameters.
Bilaterality, enormous size and normal blood and serum parameters make this case unique.
Keywords
Achilles tendon - xanthoma - gout - ultrasonography - radiography - MRI
