慢性痛风石性痛风在急性疾病期间表现为急性关节炎：一例报告
Chronic tophaceous gout presenting as acute arthritis during an acute illness: a case report.
作者信息
Dhoble Abhijeet, Balakrishnan Vijay, Smith Robert
机构信息
Department of Internal Medicine, Michigan State University, East Lansing, Michigan, USA.
出版信息
Cases J. 2008 Oct 15;1(1):238. doi: 10.1186/1757-1626-1-238.
BACKGROUND
Gout is a metabolic disease that can manifest as acute or chronic arthritis, and deposition of urate crystals in connective tissue and kidneys. It can either manifest as acute arthritis or chronic tophaceous gout.
CASE PRESENTATION
We present a 39-year-old male patient who developed acute arthritis during his hospital course. Later on, after a careful physical examination, patient was found to have chronic tophaceous gout. The acute episode was successfully treated with colchicines and indomethacin.
CONCLUSION
Gout usually flares up during an acute illness, and should be considered while evaluating acute mono articular arthritis. Rarely, it can also present with tophi as an initial manifestation.
背景
痛风是一种代谢性疾病，可表现为急性或慢性关节炎，以及尿酸盐结晶在结缔组织和肾脏中的沉积。它可表现为急性关节炎或慢性痛风石性痛风。
病例介绍
我们报告一名39岁男性患者，他在住院期间发生了急性关节炎。后来，经过仔细的体格检查，发现该患者患有慢性痛风石性痛风。急性发作期通过秋水仙碱和吲哚美辛成功治疗。
结论
痛风通常在急性疾病期间发作，在评估急性单关节炎时应予以考虑。罕见的是，它也可以以痛风石作为初始表现。
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