急性多关节痛风
Acute polyarticular gout.
作者信息
Raddatz D A, Mahowald M L, Bilka P J
出版信息
Ann Rheum Dis. 1983 Apr;42(2):117-22. doi: 10.1136/ard.42.2.117.
Abstract
We report here on 41 male patients with acute polyarticular gout seen in 3 years. Acute polyarticular gout continues to masquerade as other commoner rheumatological disorders such as septic arthritis, rheumatoid arthritis, degenerative joint disease, and even hemiparesis. Almost all of these patients had clues to the diagnosis of acute gout in their medical history. These clues included a past history of intermittent acute gout, prior attacks of polyarticular arthritis, previous hyperuricaemia, and/or obvious tophi. The patients all responded promptly to nonsteroidal anti-inflammatory drugs. We observed serious toxic drug reactions in 8 patients.
摘要
我们在此报告3年内收治的41例急性多关节痛风男性患者。急性多关节痛风仍常被误诊为其他更常见的风湿性疾病，如化脓性关节炎、类风湿关节炎、退行性关节病，甚至偏瘫。几乎所有这些患者在病史中都有提示急性痛风诊断的线索。这些线索包括既往间歇性急性痛风病史、多关节关节炎既往发作史、既往高尿酸血症和/或明显的痛风石。所有患者对非甾体抗炎药均迅速起效。我们观察到8例患者出现严重的药物不良反应。
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