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.

译文

在患有肿瘤,代谢紊乱,感染和全身性疾病的患者中观察到跟腱断裂。氟喹诺酮类药物可能导致肌腱病。此外,自发性破裂在库欣综合征中不常见。我们报告了一例因跟腱反复断裂而发现的库欣氏病。在接受长期类固醇治疗的患者中描述了肌腱撕裂,可能是通过与库欣综合征相似的机制进行的。尽管特殊,但应在自发性跟腱断裂的患者中讨论此诊断。

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