Xanthoma of the Calcaneus

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Abstract
This communication reports an unusual radiological finding in a patient with familial hyperlipaemia. Some aspects of the literature pertaining to this condition are discussed. A 38-year-old white female presented with angina-like pains of 13 years' duration. There was a strong family history of myocardial infarctions. Marked thickening of the extensor tendons of the fingers and the tendo Achilles was noted clinically. E.C.G. examination revealed an anterior myocardial infarction. Examination of the blood showed a total lipid value of 2,198 mg per cent and cholesterol of 451 mg per cent. The cholesterol phospholipid ratio was 1·25 and the triglycerides were 1,220. The condition was, therefore, diagnosed as familial hyperlipaemia with myocardial infarction. The patient made an uneventful recovery with bed rest and anticoagulants and upon discharge was advised to limit her dietary fats and was placed on cholesterol-lowering therapy. Fifteen months later she was again admitted with a myocardial infarction and again made an uneventful recovery on routine treatment. During the period of observation, the blood lipogram was always grossly disordered. The total blood lipids varied between 707 and 2,198 mg per cent.

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