Meyers O L, Monteagudo F S
Clin Exp Rheumatol. 1985 Apr-Jun;3(2):105-9.
Ninety-two females with gout are reported. The preliminary ARA criteria for acute gout classified 60% of the patients. Forty patients were diagnosed by finding tophi or urate crystals in the synovial fluid, 16 patients had the ARA clinical criteria for gout, and a further 36 patients were considered to have good clinical grounds for gouty arthritis. Classification of the patients was difficult. A subacute pauci-/polyarthritis was the presenting feature in 64 (70%) patients and in 49 (77%) there was no history of a preceding recurrent monoarthritis. Seventy-two patients (78%) were on diuretics. Tophi were usually indolent and showed little surrounding inflammation. 87% of the patients had an associated disease.
报告了92例痛风女性患者。美国风湿病学会（ARA）急性痛风的初步标准可对60%的患者进行分类。40例患者通过在滑液中发现痛风石或尿酸盐结晶而确诊，16例患者符合ARA痛风临床标准，另有36例患者被认为有痛风性关节炎的良好临床依据。对患者进行分类很困难。64例（70%）患者以亚急性少/多关节炎为首发表现，49例（77%）无前驱复发性单关节炎病史。72例（78%）患者正在使用利尿剂。痛风石通常进展缓慢，周围炎症轻微。87%的患者患有相关疾病。
