Strader K W, Agudelo C A
J Rheumatol. 1986 Aug;13(4):818-20.
The case of a 42-year-old white male with a 7-year history of multiple subcutaneous nodules and intermittent episodes of acute arthritis is presented. The patient was found to have monosodium urate crystals on joint aspiration and rheumatoid nodules on biopsy. Our patient, the first reported case of coexistent rheumatoid nodulosis and gout, emphasizes the importance of a thorough evaluation and the need to account for all available clinical and laboratory data. The classification system, differential diagnosis and clinical manifestations of patients presenting with rheumatoid nodules are briefly reviewed.
本文介绍了一名42岁白人男性患者，其有7年多发性皮下结节病史及急性关节炎间歇性发作病史。关节穿刺发现患者有尿酸钠结晶，活检发现类风湿结节。我们的患者是首例报告的类风湿结节病和痛风并存病例，强调了全面评估的重要性以及考虑所有可用临床和实验室数据的必要性。本文简要回顾了出现类风湿结节患者的分类系统、鉴别诊断及临床表现。
