Abstract
Background: Patients with heterozygous familial hypercholesterolaemia (HeFH) develop tendon xanthomata (TX), most commonly in their Achilles tendons. Even before tendons are chronically enlarged, tenosynovitis may occur and medical advice be sought. Untreated HeFH carries a high risk of premature coronary heart disease, which can be ameliorated by early diagnosis. Objective: To determine the prevalence of episodes of Achilles tendon pain in HeFH before its diagnosis. Methods: Patients with definite HeFH (Simon Broome criteria) attending a lipid clinic were identified. They completed a questionnaire asking about symptoms relating to their Achilles tendons. Unaffected spouses or cohabiting partners served as controls. Results: 133 patients (47% men) and 87 controls (51% men) participated. TX had been recognised by the referring physicians in 3 days, whereas only 6 (6.9% (1.6 to 12.2)) controls had done so (difference p
Original language | English |
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Pages (from-to) | 312-315 |
Number of pages | 3 |
Journal | Annals of the rheumatic diseases |
Volume | 65 |
Issue number | 3 |
DOIs | |
Publication status | Published - Mar 2006 |