Mirmiran Roya, Bush Tom, Cerra Michele M, Grambart Sean, Kauschinger Elaine, Younger Melissa, Zychowicz Michael
Foot and Ankle Surgeon, Department of Surgery, Sutter Medical Group, Sacramento, CA.
Associate Professor and Assistant Dean for Practice, University of North Carolina at Chapel Hill Schools of Nursing and Medicine, Chapel Hill, NC.
J Foot Ankle Surg. 2018 Nov-Dec;57(6):1207-1217. doi: 10.1053/j.jfas.2018.08.018.
Gout is a condition that commonly affects the foot and ankle, and practitioners who treat these structures should be aware of the methods to diagnose and treat this form of arthritis. Practitioners also need to recognize extra-articular manifestations of the disease. Although the acutely red, hot, swollen joint is a common presentation, chronic tophaceous gout can be associated with pain, nodule formation, and cutaneous compromise. Since the underlying causes that lead to excessive monosodium urate deposition may be treatable, early and accurate diagnosis can be very beneficial and may even prevent articular degeneration.
痛风是一种常见于足部和踝关节的病症，治疗这些部位的从业者应了解诊断和治疗这种关节炎的方法。从业者还需要认识到该疾病的关节外表现。虽然急性发红、发热、肿胀的关节是常见症状，但慢性痛风石性痛风可能伴有疼痛、结节形成和皮肤损害。由于导致尿酸钠过度沉积的潜在病因可能是可治疗的，早期准确诊断非常有益，甚至可能预防关节退变。
