Kovarsky J, Young M B
Clin Orthop Relat Res. 1978 Jul-Aug(134):182-4.
A 30-year-old man had a recurrent painful calf swelling associated with gout that mimicked thrombophlebitis and possibly muscle tear. This painful calf swelling occurred in the absence of a subjective history of arthritis of the knee. A constellation of clinical signs was highly suggestive that gout was the cause of the painful calf swellings. Patients with similar conditions, after careful exclusion of thrombophlebitis, might be spared unnecessary and potentially dangerous anticoagulation or surgical intervention by early diagnosis of gout.
一名30岁男性反复出现小腿疼痛性肿胀，伴有痛风，症状类似血栓性静脉炎，也可能是肌肉撕裂。这种小腿疼痛性肿胀在没有膝关节关节炎主观病史的情况下出现。一系列临床体征强烈提示痛风是小腿疼痛性肿胀的病因。对于患有类似病症的患者，在仔细排除血栓性静脉炎后，通过痛风的早期诊断，可能避免不必要且有潜在危险的抗凝治疗或手术干预。
