“皮内金粒”：播散性皮肤痛风
'Golden Kernels within the skin': disseminated cutaneous gout.
作者信息
Lo Tom Edward Ngo, Racaza Geraldine Zamora, Penserga Ester Gonzales
机构信息
Department of Medicine-Endocrinology, Philippine General Hospital, Manila, Philippines.
出版信息
BMJ Case Rep. 2013 Jul 10;2013:bcr2013009735. doi: 10.1136/bcr-2013-009735.
Abstract
Presented in this paper is a case of a young Filipino man presenting with recurrent acute gouty flares leading to chronic tophaceous gout and unusual cutaneous manifestations (miliary gout, panniculitis, ulcerations). Unusual sites within the body (torso, shoulder, forearms, thigh) revealed multiple urate dermal deposition. Self-medication with steroids eventually led to secondary Cushing's syndrome and eventual emergence of metabolic complications.
摘要
本文介绍了一例年轻的菲律宾男性病例，该患者反复出现急性痛风发作，导致慢性痛风石性痛风及不寻常的皮肤表现（粟粒性痛风、脂膜炎、溃疡）。身体的不寻常部位（躯干、肩部、前臂、大腿）出现了多处尿酸盐皮肤沉积。自行服用类固醇最终导致继发性库欣综合征及代谢并发症的出现。
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