Xanthomatosis Involving Tendons and Sacral Region- A Rare Combination

Abstract

A 33-year-old male patient presented with multiple lobulated, nodular, firm swellings over both Achilles tendons, patellar tendons and sacral region. The lesions started developing around 25 years ago and have gradually progressed to their present size. The patellar and tendoachilles swellings were excised and histopathology proved the swellings to be xanthomas. This 33 years old nondiabetic, non-hypertensive male patient presented with gradually progressive multiple lobulated, nodular, firm swellings over both Achilles tendons, patellar tendons ( Figure 1, 2) and sacral region for last 25 years (Figure 3), few of which demonstrated surface scarring due to friction. The patient had social problems with regards to the cosmetic deformity the lesions caused and hence attended our outpatient department. On clinical examination, the swellings were free from the underlying bone at all places. They were not associated with pain, fever, weight loss or any other conditions. The patient also provided with history of similar swellings over both triceps tendons, which were operated two years back outside our hospital. The patient has denied any recurrence of the operated lesions. The patient did not have past history of any other illness. He was non-smoker, non-alcoholic and bowel-bladder habit was regular. General and systemic examinations were within normal limit. There were no other swellings or lesions present in any other part of his body other than those already described.