猪狩　勝則    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Endowed Professor
Article types	Original article
Language	English
Peer review	Peer reviewed
Title	Neglected spontaneous rupture of the Achilles' tendon in patients with systemic lupus erythematosus.
Journal	Formal name：Modern rheumatology Abbreviation：Mod Rheumatol ISSN code：(1439-7595)1439-7595(Linking)
Volume, Issue, Page	16(5),pp.324-326
Author and coauthor	MURAKOSHI Kaoru, MOMOHARA Shigeki, IKARI Katsunori, IWAMOTO Takuji, KAWAMURA Kouichirou, TOMATSU Taisuke, IIKUNI Noriko, OKAMOTO Hiroshi
Publication date	2006
Summary	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.
DOI	10.1007/s10165-006-0508-0
PMID	17039317