case_images: PMC8159634_01
case_images: Bilateral and symmetrical hypertrophy of Achilles tendon.
case_images: CRIRH2021-6656584.001.jpg
case_images: PMC8159634_01_CRIRH2021-6656584.001.jpg
case_images: fig1
case_images: Musculoskeletal examination revealed bilateral and symmetrical hypertrophy of Achilles tendons (Figure 1), quadriceps, and tibial tuberosities.
case_images: Sagittal images of the ankle MRI showing diffuse thickening of the Achilles tendon hypointense in T1 (a) and heterogeneous hypersignal in T2 (b).
case_images: CRIRH2021-6656584.002.jpg
case_images: PMC8159634_01_CRIRH2021-6656584.002.jpg
case_images: fig2
case_images: Magnetic resonance imaging (MRI) of ankles showed a bilateral diffuse thickening of the Achilles tendon with hypointense in T1 and heterogeneous hypersignal in T2 with spots hypersignal in T1 and T2 compatible with the appearance of tendon xanthoma (Figure 2).
case_images: Axial image of brain MRI showing bilateral T2 hypersignal of the serrated nuclei (asterisks).
case_images: CRIRH2021-6656584.003.jpg
case_images: PMC8159634_01_CRIRH2021-6656584.003.jpg
case_images: fig3
case_images: Brain MRI revealed bilateral and symmetrical T2 hypersignal of dentate nuclei not enhanced after injection of gadolinium, without white matter signal alterations or cerebellar atrophy (Figure 3).