Neglected spontaneous rupture of the Achilles’ tendon in patients with systemic lupus erythematosus

Kaoru MurakoshiDepartment of Orthopedic Surgery, Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, Japan

Shigeki MomoharaDepartment of Orthopedic Surgery, Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, JapanCorrespondence[email protected]

Katsunori IkariDepartment of Orthopedic Surgery, Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, Japan

Takuji IwamotoDepartment of Orthopedic Surgery, Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, Japan

Kouichirou KawamuraDepartment of Orthopedic Surgery, Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, Japan

Taisuke TomatsuDepartment of Orthopedic Surgery, Institute of Rheumatology, Tokyo Women’s Medical University, 10-22 Kawada-cho, Shinjuku-ku, Tokyo 162-0054, Japan

Noriko IikuniDepartment of Internal Medicine, Institute of Rheumatology, Tokyo Women’s Medical University, Tokyo, Japan

Hiroshi OkamotoDepartment of Internal Medicine, Institute of Rheumatology, Tokyo Women’s Medical University, Tokyo, Japan

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Abstract

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.

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Neglected spontaneous rupture of the Achilles’ tendon in patients with systemic lupus erythematosus

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Neglected spontaneous rupture of the Achilles’ tendon in patients with systemic lupus erythematosus

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