[Genetic hypothesis involving Haglund's syndrome and its association with ankylosing spondylitis: case report]

Haglund´s syndrome is characterized by osterosuperior calcaneal exostosis which irritates the Achilles tendon and manifests mainly as posterior talalgia. We here report the case of a 28-year-old woman on follow up for ankylosing spondylitis. Her mother was on follow up for the same systemic disease, and one of her maternal aunts had undergone surgery due to Haglund's syndrome. Patient's delay led to incorrect diagnosis as talagia was considered by physicians as a consequence of her system disease. The patient did not improve under medical treatment. Surgery outcome was satisfactory. This study raises a hypothesis about the genetic and hereditary character of Haglund's syndrome and its relationship with treatment response.