Haines JF: Bilateral rupture of the Achilles tendon in patients on steroid therapy. .Ann Rheum Dis 42::652. ,1983. .
Mahoney PG, James PD, Howell CJ, et al: Spontaneous rupture of the Achilles tendon in a patient with gout. .Ann Rheum Dis 40::416. ,1981. .
Matsumoto K, Hukuda S, Nishioka J, et al: Rupture of the Achilles tendon in rheumatoid arthritis with histologic evidence of enthesitis: a case report. .Clin Orthop 280::235. ,1992. .
Potasman I, Bassan HM: Multiple tendon rupture in systemic lupus erythematosus: case report and review of the literature. .Ann Rheum Dis 43::347. ,1984. .
Rascher JJ, Marcolin L, James P: Bilateral sequential rupture of the patellar tendon in systemic lupus erythematosus. .J Bone Joint Surg Am 56::821. ,1974. .
Rask MR: Achilles tendon rupture owing to rheumatoid disease: case report with a nine-year follow-up. .JAMA 239::435. ,1978. .
Spencer JD: Spontaneous rupture of tendons in dialysis and renal transplant patients. .Injury 19::86. ,1988. .
Chechick A, Amit Y, Israeli A, et al: Recurrent rupture of the Achilles tendon induced by corticosteroid injection. .Br J Sports Med 16::89. ,1982. .
Hasted K, Larsson LG, Lindholm A: Clearance of radio-sodium after local deposit in the Achilles tendon. .Acta Chir Scand 116::251. ,1958. .
Lagergren C, Lindholm A: Vascular distribution in the Achilles tendon. .Acta Chir Scand 116::491. ,1958. .
Newnham DM, Douglas JG, Legge JS, et al: Achilles tendon rupture: an underrated complication of corticosteroid treatment. .Thorax 46::853. ,1991. .
Asboe-Hansen G: Influence of corticosteroids on connective tissue. .Dermatologica 152:: (suppl 1)127. ,1976. .
Melmed EP: Spontaneous bilateral rupture of the calcaneal tendon during steroid therapy. .J Bone Joint Surg Br 47::104. ,1965. .
Unverferth LJ, Olix ML: The effect of local steroid injections on tendon. .J Sports Med 1::31. ,1973. .
Price AE, Evanski PM, Waugh TR: Bilateral simultaneous Achilles tendon ruptures: a case report and review of the literature. .Clin Orthop 213::249. ,1986. .
Baruah DR: Bilateral spontaneous rupture of the Achilles tendons in a patient on long-term systemic steroid therapy. .Br J Sports Med 18::128. ,1984. .
Dickey W, Patterson V: Bilateral Achilles tendon rupture simulating peripheral neuropathy: unusual complication of steroid therapy. .J R Soc Med 80::386. ,1987. .
Kotnis RA, Halstead JC, Hormbrey PJ: Atraumatic bilateral Achilles tendon rupture: an association of systemic steroid treatment. .J Accid Emerg Med 16::378. ,1999. .
Spontaneous Achilles tendon rupture associated with long-term oral steroid use is not uncommon, particularly in older patients who use these drugs daily to treat systemic diseases. Rupture often results in a large defect, which complicates surgical repair. The authors review Achilles tendon rupture associated with systemic and local steroid use and present a case of rupture due to chronic oral steroid use in a patient with Addison’s disease. (J Am Podiatr Med Assoc 92(6): 355-358, 2002)