伴有严重多处溃疡的多关节慢性痛风石性痛风：一例报告
Multiarticular chronic tophaceous gout with severe and multiple ulcerations: a case report.
作者信息
Falidas Evangelos, Rallis Efstathios, Bournia Vasiliki-Kalliopi, Mathioulakis Stavros, Pavlakis Emmanouil, Villias Constantinos
机构信息
First Department of Surgery, 417 NIMTS Veterans Administration Hospital of Athens, Monis Petraki 10-12, Athens, 11521,Greece.
出版信息
J Med Case Rep. 2011 Aug 19;5:397. doi: 10.1186/1752-1947-5-397.
INTRODUCTION
Gout is a common inflammatory arthritis caused by articular precipitation of monosodium urate crystals. It usually affects the first metatarsophalangeal joint of the foot and less commonly other joints, such as wrists, elbows, knees and ankles.
CASE PRESENTATION
We report the case of a 75-year-old Caucasian man with tophaceous multiarticular gout, soft-tissue involvement and ulcerated tophi on the first metatarsophalangeal joint of the left foot, on the first interphalangeal joint of the right foot and on the left thumb.
CONCLUSION
Ulcers due to tophaceous gout are currently uncommon considering the positive effect of pharmaceutical treatment in controlling hyperuricemia. Surgical treatment is seldom required for gout and is usually reserved for cases of recurrent attacks with deformities, severe pain, infection and joint destruction.
引言
痛风是一种常见的炎症性关节炎，由尿酸钠晶体在关节处沉积引起。它通常影响足部的第一跖趾关节，较少影响其他关节，如手腕、肘部、膝盖和脚踝。
病例报告
我们报告一例75岁的白种男性，患有痛风石性多关节痛风，伴有软组织受累，且在左脚第一跖趾关节、右脚第一趾间关节和左手拇指处有溃疡痛风石。
结论
考虑到药物治疗在控制高尿酸血症方面的积极作用，痛风石性痛风引起的溃疡目前并不常见。痛风很少需要手术治疗，通常仅用于复发性发作伴有畸形、剧痛、感染和关节破坏的病例。
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