TY - JOUR
T1 - Neglected spontaneous rupture of the Achilles' tendon in patients with systemic lupus erythematosus
AU - Murakoshi, Kaoru
AU - Momohara, Shigeki
AU - Ikari, Katsunori
AU - Iwamoto, Takuji
AU - Kawamura, Kouichirou
AU - Tomatsu, Taisuke
AU - Iikuni, Noriko
AU - Okamoto, Hiroshi
PY - 2006/10
Y1 - 2006/10
N2 - Spontaneous Achilles' tendon rupture associated with systemic lupus erythematosus (SLE) is rare complication in literature review. We encountered two patients with neglected spontaneous ruptures of Achilles' tendons who had been on corticosteroid therapy to treat SLE. The ages of these patients were 43 and 49 years, and both were women. One of them was a case of bilateral Achilles' tendons rerupture. Achilles' tendons of both patients were reconstructed by surgery because of delay in their diagnosis. Histological section of the both ruptured Achilles' tendon revealed fibrotic scar tissue and little existence of inflammatory change. We concluded that careful diagnosis, surgical suture, and careful treatment after operation are necessary for Achilles' tendon rupture in those patients with SLE.
AB - Spontaneous Achilles' tendon rupture associated with systemic lupus erythematosus (SLE) is rare complication in literature review. We encountered two patients with neglected spontaneous ruptures of Achilles' tendons who had been on corticosteroid therapy to treat SLE. The ages of these patients were 43 and 49 years, and both were women. One of them was a case of bilateral Achilles' tendons rerupture. Achilles' tendons of both patients were reconstructed by surgery because of delay in their diagnosis. Histological section of the both ruptured Achilles' tendon revealed fibrotic scar tissue and little existence of inflammatory change. We concluded that careful diagnosis, surgical suture, and careful treatment after operation are necessary for Achilles' tendon rupture in those patients with SLE.
KW - Achilles' tendon
KW - Corticosteroid
KW - Spontaneous rupture
KW - Systemic lupus erythematosus (SLE)
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U2 - 10.1007/s10165-006-0508-0
DO - 10.1007/s10165-006-0508-0
M3 - Article
C2 - 17039317
AN - SCOPUS:33750074421
SN - 1439-7595
VL - 16
SP - 324
EP - 326
JO - Japanese Journal of Rheumatology
JF - Japanese Journal of Rheumatology
IS - 5
ER -