RESUMEN
Spontaneous rupture of Achilles tendon is observed in patients with tumors, metabolic disorders, infections and systemic diseases. Fluoroquinolones may cause tendinopathies. In addition, spontaneous rupture uncommonly occurs in Cushing's syndrome. We report a case of Cushing's disease revealed by recurrent rupture of Achilles tendon. Tendon tears are described in patients receiving long-term steroid treatment, probably via a mechanism similar to that one occurring in Cushing's syndrome. Although exceptional, this diagnosis should be discussed in patients with spontaneous rupture of Achilles tendon.
Asunto(s)
Tendón Calcáneo/patología , Hipersecreción de la Hormona Adrenocorticotrópica Pituitaria (HACT)/complicaciones , Absorciometría de Fotón , Adrenalectomía , Adulto , Complicaciones de la Diabetes/tratamiento farmacológico , Hormonas/sangre , Humanos , Hipertensión/complicaciones , Hipertensión/tratamiento farmacológico , Hipoglucemiantes/uso terapéutico , Dolor de la Región Lumbar/etiología , Imagen por Resonancia Magnética , Masculino , Nicardipino/uso terapéutico , Dolor/etiología , Rotura Espontánea/complicaciones , Rotura Espontánea/patologíaRESUMEN
A thread which is absorbed slowly and which has a polyglycolic acid base has been used since 1975 in the Sainte-Foy-les-Lyon Maternity Unit to sew up episiotomies and perineal tears. The authors had 98.70 p. 100 of excellent results out of 1082 cases from the anatomic, aesthetic and functional angle. This technique appears to be a useful one in early mobilisation in obstetrics.
