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Ann. Clin. Lab. Sci. · Jan 2003
Case ReportsCase report: acute spontaneous Achilles tendon rupture in a patient with giant cell arteritis.
- T Jared Bunch, Gail A Welsh, Dylan V Miller, and V Swaroop Santhi.
- Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA.
- Ann. Clin. Lab. Sci. 2003 Jan 1; 33 (3): 326-8.
AbstractWe report a case of a 69-yr-old previously healthy man with acute spontaneous Achilles tendon rupture and severe tendonitis, which occurred after 2 weeks of steroid therapy for newly diagnosed giant cell arteritis. The Achilles tendon rupture was treated conservatively and the tendonitis resolved incrementally with steroid dose reduction. The patient made a complete recovery. In view of the widespread use of steroids in practice, this novel case presentation has important clinical implications. The tendon rupture early in the course of high-dose steroid therapy expands the understanding of this adverse reaction, which was previously reported only with long-term steroid therapy. The severe tendonitis responded to steroid therapy reduction suggesting a dose correlation. This report adds to a sole previous report of a spontaneous Achilles tendon rupture associated with giant cell arteritis.
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