Aspergilloma clinically mimicking Achilles tendon xanthoma in a non-immunocompromised patient: A case report

Young Hwan Park; Young Ha Kim; Jae Young Kim; Gi Won Choi; Hak Jun Kim

doi:10.1016/j.fas.2020.01.008

Aspergilloma clinically mimicking Achilles tendon xanthoma in a non-immunocompromised patient: A case report

Young Hwan Park, Young Ha Kim, Jae Young Kim, Gi Won Choi, Hak Jun Kim

Research output: Contribution to journal › Article › peer-review

Abstract

A 48-year-old woman visited our outpatient clinic complaining of discomfort while wearing shoes due to a large mass around her Achilles tendon. The mass was firm, non-tender, non-reducible, and moved with the Achilles tendon, similar to Achilles tendon xanthoma. However, magnetic resonance imaging revealed multiple heterogeneous, nodular lesions with low T1 and T2 signal intensity, and histological examination of the biopsy specimen revealed the mass to contain hyphae of Aspergillus, indicating aspergilloma. The purpose of this case report is to emphasize that a tumor around the Achilles tendon can be something other than xanthoma even when the clinical features are typical of xanthoma. Level of clinical evidence: 4.

Original language	English
Pages (from-to)	943-945
Number of pages	3
Journal	Foot and Ankle Surgery
Volume	26
Issue number	8
DOIs	https://doi.org/10.1016/j.fas.2020.01.008
Publication status	Published - 2020 Dec

Keywords

Ankle joint
Aspergillosis
Neoplasm
Xanthomatosis

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.fas.2020.01.008

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title = "Aspergilloma clinically mimicking Achilles tendon xanthoma in a non-immunocompromised patient: A case report",

abstract = "A 48-year-old woman visited our outpatient clinic complaining of discomfort while wearing shoes due to a large mass around her Achilles tendon. The mass was firm, non-tender, non-reducible, and moved with the Achilles tendon, similar to Achilles tendon xanthoma. However, magnetic resonance imaging revealed multiple heterogeneous, nodular lesions with low T1 and T2 signal intensity, and histological examination of the biopsy specimen revealed the mass to contain hyphae of Aspergillus, indicating aspergilloma. The purpose of this case report is to emphasize that a tumor around the Achilles tendon can be something other than xanthoma even when the clinical features are typical of xanthoma. Level of clinical evidence: 4.",

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author = "Park, {Young Hwan} and Kim, {Young Ha} and Kim, {Jae Young} and Choi, {Gi Won} and Kim, {Hak Jun}",

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doi = "10.1016/j.fas.2020.01.008",

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AU - Choi, Gi Won

AU - Kim, Hak Jun

PY - 2020/12

Y1 - 2020/12

N2 - A 48-year-old woman visited our outpatient clinic complaining of discomfort while wearing shoes due to a large mass around her Achilles tendon. The mass was firm, non-tender, non-reducible, and moved with the Achilles tendon, similar to Achilles tendon xanthoma. However, magnetic resonance imaging revealed multiple heterogeneous, nodular lesions with low T1 and T2 signal intensity, and histological examination of the biopsy specimen revealed the mass to contain hyphae of Aspergillus, indicating aspergilloma. The purpose of this case report is to emphasize that a tumor around the Achilles tendon can be something other than xanthoma even when the clinical features are typical of xanthoma. Level of clinical evidence: 4.

AB - A 48-year-old woman visited our outpatient clinic complaining of discomfort while wearing shoes due to a large mass around her Achilles tendon. The mass was firm, non-tender, non-reducible, and moved with the Achilles tendon, similar to Achilles tendon xanthoma. However, magnetic resonance imaging revealed multiple heterogeneous, nodular lesions with low T1 and T2 signal intensity, and histological examination of the biopsy specimen revealed the mass to contain hyphae of Aspergillus, indicating aspergilloma. The purpose of this case report is to emphasize that a tumor around the Achilles tendon can be something other than xanthoma even when the clinical features are typical of xanthoma. Level of clinical evidence: 4.

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Aspergilloma clinically mimicking Achilles tendon xanthoma in a non-immunocompromised patient: A case report

Abstract

Keywords

ASJC Scopus subject areas

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