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Annals of the Rheumatic Diseases logoLink to Annals of the Rheumatic Diseases
. 1984 Apr;43(2):347–349. doi: 10.1136/ard.43.2.347

Multiple tendon rupture in systemic lupus erythematosus: case report and review of the literature.

I Potasman, H M Bassan
PMCID: PMC1001497  PMID: 6712309

Abstract

Tendon rupture in systemic lupus erythematosus (SLE) is a rare complication that appears to occur in patients receiving corticosteroid therapy. A case is presented with sequential bilateral rupture of Achilles tendon and unilateral rupture of a patellar tendon. Six more published cases are reviewed. Tendon rupture in SLE has affected both males and females between the ages of 24 and 63 years. It occurred exclusively in the weight-bearing tendons: in 6 instances the patellar tendon was severed, in 2 the Achilles, and in one the quadriceps. All 7 patients were on corticosteroid therapy at or just before the time of injury. The deleterious effect of this treatment in loosening connective tissue is discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Asboe-Hansen G. Influence of corticosteroids on connective tissue. Dermatologica. 1976;152 (Suppl 1):127–132. doi: 10.1159/000257873. [DOI] [PubMed] [Google Scholar]
  2. COWAN M. A., ALEXANDER S. Simultaneous bilateral rupture of Achilles tendons due to triamcinolone. Br Med J. 1961 Jun 10;1(5240):1658–1658. doi: 10.1136/bmj.1.5240.1658. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. ELLIS J. T. Necrosis and regeneration of skeletal muscles in cortisone-treated rabbits. Am J Pathol. 1956 Sep-Oct;32(5):993–1013. [PMC free article] [PubMed] [Google Scholar]
  4. Houck J. C., Patel Y. M. Proposed mode of action of corticosteroids on the connective tissue. Nature. 1965 Apr 10;206(980):158–160. doi: 10.1038/206158a0. [DOI] [PubMed] [Google Scholar]
  5. Ismail A. M., Balakrishnan R., Rajakumar M. K., Lumpur K. Rupture of patellar ligament after steroid infiltration. Report of a case. J Bone Joint Surg Br. 1969 Aug;51(3):503–505. [PubMed] [Google Scholar]
  6. Lee H. B. Avulsion and Rupture of the Tendo Calcaneus after Injection of Hydrocortisone. Br Med J. 1957 Aug 17;2(5041):395–395. doi: 10.1136/bmj.2.5041.395. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. MARTIN J. R., WILSON C. L., MATHEWS W. H. Bilateral rupture of the ligamenta patellae in a case of disseminated lupus erythematosus. Arthritis Rheum. 1958 Dec;1(6):548–552. doi: 10.1002/art.1780010608. [DOI] [PubMed] [Google Scholar]
  8. RUHMANN A. G., BERLINER D. L. EFFECT OF STEROIDS ON GROWTH OF MOUSE FIBROBLASTS IN VITRO. Endocrinology. 1965 May;76:916–927. doi: 10.1210/endo-76-5-916. [DOI] [PubMed] [Google Scholar]
  9. Rascher J. J., Marcolin L., James P. Bilateral, sequential rupture of the patellar tendon in systemic lupus erythematosus. A case report. J Bone Joint Surg Am. 1974 Jun;56(4):821–822. [PubMed] [Google Scholar]
  10. Strejcek J., Popelka S. Bilateral rupture of the patellar ligaments in systemic lupus erythematosus. Lancet. 1969 Oct 4;2(7623):743–743. doi: 10.1016/s0140-6736(69)90451-6. [DOI] [PubMed] [Google Scholar]
  11. TWINING R. H., MARCUS W. Y., GAREY J. L. TENDON RUPTURE IN SYSTEMIC LUPUS ERYTHEMATOSUS. JAMA. 1964 Aug 3;189:377–378. doi: 10.1001/jama.1964.03070050043017. [DOI] [PubMed] [Google Scholar]
  12. Wener J. A., Schein A. J. Simultaneous bilateral rupture of the patellar tendon and quadriceps expansions in systemic lupus erythematosus. A case report. J Bone Joint Surg Am. 1974 Jun;56(4):823–824. [PubMed] [Google Scholar]

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