ENT, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
ENT, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
BMJ Case Rep. 2020 Oct 30;13(10):e234788. doi: 10.1136/bcr-2020-234788.
Gout is an increasingly common metabolic disorder worldwide. Classical presentation is with acute attacks of arthritis affecting the first metatarsophalangeal joint. With disease progression, tophi may also appear. We present an unusual case of nasal gout in a 55-year-old man who was referred to the Ear, Nose and Throat department with irregularity over the nasal bones and episodic pain. We discuss the work up, diagnosis and management of this case and review the limited literature on this topic.
痛风是一种在全球范围内日益常见的代谢紊乱疾病。其典型表现为急性关节炎发作，累及第一跖趾关节。随着疾病的进展，可能还会出现痛风石。我们报告了一例 55 岁男性的鼻部痛风病例，该患者因鼻骨不规则和间歇性疼痛而被转至耳鼻喉科。我们讨论了该病例的检查、诊断和治疗方法，并回顾了该主题的有限文献。
