González-Rozas M, Prieto de Paula J M, Franco Hidalgo S, López Pedreira M R
Servicio de Medicina Interna, Hospital Clínico de Valladolid, Valladolid, España.
Semergen. 2013 Sep;39(6):e29-34. doi: 10.1016/j.semerg.2012.05.004. Epub 2012 Oct 2.
Gout is a common illness, usually of unknown etiology, is more frequent in men, and with a prevalence that increases with age. It is characterized by recurrent episodes of acute arthritis due to the deposition of monosodium urate crystals in joints. The underlying disorder in most cases is hyperuricemia, usually as a consequence of impairment in its renal excretion. Although it is generally believed that both the diagnosis and treatment are simple, the truth is that the level of adherence of clinical decisions using the existing guidelines is poor. We describe a case of chronic tophaceous gout, and review the general characteristics of this condition.
痛风是一种常见疾病，通常病因不明，在男性中更为常见，且患病率随年龄增长而增加。其特征是由于尿酸钠晶体在关节中沉积导致急性关节炎反复发作。大多数情况下，潜在疾病是高尿酸血症，通常是肾脏排泄功能受损的结果。尽管一般认为痛风的诊断和治疗都很简单，但事实是，遵循现有指南做出临床决策的依从性很差。我们描述了一例慢性痛风石性痛风病例，并回顾了这种疾病的一般特征。
