David H. Blankenhorn, M.D., F.A.C.P.; Harvey I. Meyers, M.D.
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This Report describes 1 year's experience with a radiographic method to detect and measure Achilles tendon xanthomas. Lateral films exposed with tabletop soft-tissue technique to show the entire length of tendon from calcaneous to gastrocnemius are made with a standard position of X-ray tube and leg. Measurement of maximum tendon dimensions distinguishes patients with Achilles xanthomas from nonxanthomatous hyperlipoproteinemic patients and normocholesterolemic individuals. Achilles tendon xanthomas are characteristic of type II and type III hyperlipoproteinemia in addition to type V hyperlipoproteinemia secondary to diabetes. The usual Achilles xanthoma is an irregular thickening that can appear anywhere between calcaneous and gastrocnemius.
Blankenhorn DH, Meyers HI. Radiologic Examination of Xanthomas.. Ann Intern Med. ;70:1100. doi: 10.7326/0003-4819-70-5-1100_2
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Published: Ann Intern Med. 1969;70(5):1100.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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