Brighton and Sussex University Hospitals NHS Trust, Brighton.
Br J Gen Pract. 2010 Dec;60(581):913-5. doi: 10.3399/bjgp10X544096.
Gout is the commonest cause of inflammatory arthritis among young men. A case of acute gout in a 39-year-old man is described. As part of his assessment, his cardiovascular risk factors were evaluated. He was found to have elevated body mass index, central obesity, hypertension, a family history of cardiovascular disease, and hypercholesterolemia. This case highlights the association between gout, hyperuricaemia and elevated cardiovascular risk. In young male patients, acute presentation with gout in primary care may provide the first opportunity for assessment of cardiovascular risk factors and primary prevention of ischaemic heart disease.
痛风是年轻男性中最常见的炎性关节炎病因。现描述 1 例 39 岁男性急性痛风病例。在对其进行评估的过程中，对其心血管危险因素进行了评估。他的体重指数升高、中心性肥胖、高血压、心血管疾病家族史和高胆固醇血症。该病例强调了痛风、高尿酸血症和心血管风险升高之间的关联。在年轻男性患者中，初级保健中痛风的急性表现可能为评估心血管危险因素和预防缺血性心脏病提供首次机会。
