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Spontaneous and simultaneous rupture of both Achilles tendons and pathological fracture of the femur neck in a patient receiving long-term hemodialysis

  • Nephrology - Case Report
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Abstract

Spontaneous rupture of the Achilles tendons in hemodialysis patients is a rare complication. The majority of these patients have additional predisposing factors, such as previous use of fluoroquinolone antibiotics or corticosteroids. Spontaneous rupture of bilateral Achilles tendons without any of those predisposing factors is exceptional. In this paper, we report a 43-year-old woman who had been undergoing regular hemodialysis for 16 years. She developed bilateral spontaneous and simultaneous rupture of the Achilles tendons. She also developed pathological fracture of right femur neck 3 years later. Based on previous cases of tendon ruptures in uremic patients and the lack of history for the use of corticosteroids or fluoroquinolones, we believe that secondary hyperparathyroidism is the predisposing factor in this patient.

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Authors and Affiliations

  1. Department of Rheumatology, Ministry of Health Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey

    Kemal Üreten

  2. Turan Güneş Bulvarı, 13. Cad, TunaCantürk sitesi No: 6/6 Oran, Çankaya, Ankara, Turkey

    Kemal Üreten

  3. Department of Rheumatology, Gazi University School of Medicine, Ankara, Turkey

    Mehmet Akif Öztürk

  4. Department of Endocrinology, Ministry of Health Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey

    Mustafa Özbek

  5. Department of Nephrology, Ministry of Health Ankara Education and Research Hospital, Ankara, Turkey

    Selman Unverdi

Authors
  1. Kemal Üreten
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  2. Mehmet Akif Öztürk
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  3. Mustafa Özbek
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  4. Selman Unverdi
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Correspondence to Kemal Üreten.

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Üreten, K., Öztürk, M.A., Özbek, M. et al. Spontaneous and simultaneous rupture of both Achilles tendons and pathological fracture of the femur neck in a patient receiving long-term hemodialysis. Int Urol Nephrol 40, 1103–1106 (2008). https://doi.org/10.1007/s11255-008-9421-0

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  • DOI: https://doi.org/10.1007/s11255-008-9421-0

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