Abstract
Tendinous xanthomata with maximum expression on Achilles tendons are a characteristic feature of cerebrotendinous xanthomatosis, a rare autosomal recessive lipid storage disease. Twenty patients are under review; three of them, at different stages of the disease, underwent computed tomographic (CT) examination. CT demonstrates with a high degree of accuracy the increased size of the tendon and its heterogeneous structure resulting from cholesterol and cholestanol crystal deposits.
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Berginer VM, Abeliovich D (1981) Genetics of cerebrotendinous xanthomatosis. Am J Med Gen 10:151
Berginer VM, Berginer J, Salen G, Shefer S, Zimmerman RD (1981) Computed tomography in cerebrotendinous xanthomatosis. Neurology (NY) 31:1463
Berginer VM, Berginer J, Bar-Ziv J, Young LW (1982) Radiological case of the month. Am J Dis Child 136:551
Berginer VM, Salen G, Shefer S (1984) Long-term treatment of cerebrotendinous xanthomatosis with chenodeoxycholic acid. N Engl J Med 311:1649
Burnstein M, Buckwalter KA, Martel W, McClatchey KD, Quint DC (1987) Case report 427. Skeletal Radiol 16:346
Durrington PN, Adams JE, Beastall MD (1982) The assessment of Achilles tendon size in primary hypercholesterolemia by computed tomography. Atherosclerosis 45:345
Fahey JJ, Stark HH, Donovan WF, Drennan DR (1973) Xanthoma of the Achilles tendon. Seven cases with familial β hyperlipoproteinemia. J Bone Joint Surg [Am] 55:1197
Gattereau A, Davignon J, Levesque HP (1971) Roentgenological evolution of Achilles tendon xanthomatosis. Lancet II:705
Goodman LR, Shanser JD (1977) The pre-Achilles fat pad: an aid to early diagnosis of local or systemic disease. Skeletal Radiol 2:81
March HC, Gilbert PD, Kain TM (1957) Hypercholesteremic xanthoma of the tendons. AJR 77:109
Pastershank SP, Yip S, Sodhi HS (1974) Cerebrotendinous xanthomatosis. J Can Assoc Radiol 25:282
Reiser VM, Rupp N, Lehner K, Paar O, Gradinger R, Karpf PM (1985) Die Darstellung der Achillessehne im Computertomogramm. ROFO 143:173
Rosenberg ZS, Feldman F, Singson RD, Kane R (1988) Ankle tendons: evaluation with CT. Radiology 166:221
Seltzer SE, Weissman BN, Braunstein EM, Adams DF, Thomas WH (1984) Computed tomography of the hind foot. J Comput Assist Tomogr 8:488
Solomon MA, Gilula LA, Oloff LM, Oloff J, Compton T (1986) CT scanning of the foot and ankle: 1. normal anatomy. AJR 146:1192
Solomon MA, Gilula LA, Oloff LM, Oloff J (1986) CT scanning of the foot and ankle: 2. clinical applications and review of the literature. AJR 146:1204
Swanson PD, Cromwell LD (1986) Magnetic resonance imaging in cerebrotendinous xanthomatosis. Neurology (NY) 36:124
Weintrob L, Truswell AS (1971) A case of type III hyperlipoproteinemia with xanthomata. Br J Radiol 44:215
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Hertzanu, Y., Berginer, J. & Berginer, V.M. Computed tomography of tendinous xanthomata in cerebrotendinous xanthomatosis. Skeletal Radiol. 20, 99–102 (1991). https://doi.org/10.1007/BF00193819
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DOI: https://doi.org/10.1007/BF00193819