Suresh E
Rheumatology Department, Kettering General Hospital, Rothwell Road, Kettering NN16 8UZ, UK.
Postgrad Med J. 2005 Sep;81(959):572-9. doi: 10.1136/pgmj.2004.030692.
Gout is one of the best understood among the rheumatological disorders and one of the most satisfying to treat. Even non-specialists should be able to diagnose and treat most patients provided some important principles are appreciated. Management of a minority of patients, including those with renal impairment is difficult and often unsatisfactory, because of restricted treatment options. In this paper, the basic principles underlying the diagnosis and management of gout are discussed first, followed by practical approaches.
痛风是最容易理解的风湿性疾病之一,也是最容易治疗的疾病之一。只要理解一些重要原则,即使非专科医生也应该能够诊断和治疗大多数患者。由于治疗选择有限,少数患者(包括肾功能不全患者)的管理很困难,而且往往不尽人意。本文首先讨论痛风诊断和管理的基本原则,然后是实际方法。