Familial hypercholesterolaemia commonly presents with Achilles tenosynovitis

D. Beeharry, B. Coupe, E. W. Benbow, J. Morgan, S. Kwok, V. Charlton-Menys, M. France, P. N. Durrington

    Research output: Contribution to journalArticlepeer-review

    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 languageEnglish
    Pages (from-to)312-315
    Number of pages3
    JournalAnnals of the rheumatic diseases
    Volume65
    Issue number3
    DOIs
    Publication statusPublished - Mar 2006

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