A case of bilateral Achilles tendon spontaneous rupture in a hemodialysis patient: Who is the real culprit? Acidosis? Or hyperparathyroidism?

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ID: 311175
2022
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Abstract
Patients who are on regular hemodialysis and who have advanced renal failure but have not yet started on renal replacement therapy have a high risk of tendon rupture, although this is a rare situation. We reported a case of 55-year-old male patient who had been on regular hemodialysis for the past 10 years. He presented with a sudden onset of pain and swelling in the left posterior ankle while climbing stairs. Ultrasonography revealed a complete disruption of the Achilles tendon, which was surgically repaired. His medical history was remarkable for the right Achilles tendon rupture a year ago. Investigations revealed tertiary hyperparathyroidism with chronic metabolic acidosis and high β-2 macroglobulin. With surgical repair, physiotherapy, and parathyroidectomy, the patient regained full active mobility. This case emphasized the importance of high parathyroid hormone level, metabolic acidosis, and high β-2 macroglobulin in the pathogenesis of tendons ruptures.
Reference Key
2026article28 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Saifullah Khan, Muftah Othman, Mohammad Amin Elesnawy
Journal Yemen Journal of Medicine
Year 2022
DOI
10.32677/yjm.v1i2.3642
URL
https://doi.org/10.32677/yjm.v1i2.3642
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