r e v b r a s r e u m a t o l . 2017;57(4):369
w w w . r e u m a t o l o g i a . c o m . b r
REVISTA
BRASILEIRA
DE
REUMATOLOGIA
Letter
to
the
editor
Achilles
tendon
xanthoma
Xantoma
no
tendão
calcâneo
DearEditor,
The recent report on “Achilles tendon xanthoma” is very interesting.1 Fernandesetal. concludedthat imaging
stud-ieswereusefulfordiagnosisofAchillestendonxanthoma.1
In fact, the Achilles tendon xanthoma is rare. The differ-ential diagnosis should include gouty nodule at Achilles tendon. An important concern is the cost-effectiveness of MRIimaging use. Itshould be specificallyselected in case ofunderlyinghyperlipidemia.Besides,itisreportedthatthe diagnostic property of the MRI is not good. Dussault and Kaplanconcludedthat“xanthomaappearanceinMRIisnot pathognomonic”.2
Conflicts
of
interest
Theauthorsdeclarenoconflictsofinterest.
r
e
f
e
r
e
n
c
e
s
1.FernandesEA,SantosEH,TucunduvaTC,FerrariAJ,Fernandes AD.Achillestendonxanthomaimagingonultrasoundand
magneticresonanceimaging.RevBrasReumatol. 2015;55(3):13–6.
2.DussaultRG,KaplanPA,RoedererG.MRimagingofAchilles tendoninpatientswithfamilialhyperlipidemia:comparison withplainfilms,physicalexamination,andpatientswith traumatictendonlesions.AJRAmJRoentgenol.
1995;164(2):403–7.
BeuyJooba,∗, VirojWiwanitkitb
aMedicalAcademicCenter,Bangkok,Thailand
bHainanMedicalUniversity,Haikou,China
∗Correspondingauthor.
E-mail:beuyjoob@hotmail.com(B.Joob). 2255-5021/
©2015ElsevierEditoraLtda.Thisisanopenaccessarticle undertheCCBY-NC-NDlicense(http://creativecommons. org/licenses/by-nc-nd/4.0/).
