Xanthoma of the Achilles tendon in a patient with cerebrotendinous xanthomatosis

(A) Xanthoma of the Achilles tendon on T2-weighted MRI.
(B) Extremely thickened Achilles tendon.
(C) Hematoxylin and Eosin staining of xanthoma in the Achilles tendon. Foamy cells admixed with inflammatory giant cells infiltrated the tendinous tissue, and cholesterol clefts were visible.

MRI: magnetic resonance imaging; FLAIR: fluid-attenuated inversion recovery.

Reproduced with permission from: Sasamura A, Akazawa S, Haraguchi A, et al. Late-onset Cerebrotendinous Xanthomatosis with a Novel Mutation in the CYP27A1 Gene. Intern Med 2018; 57:1611. Copyright © 2018 Japanese Society of Internal Medicine.

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Xanthoma of the Achilles tendon in a patient with cerebrotendinous xanthomatosis