Lam P W, Peh W C
Department of Diagnostic Radiology, University of Hong Kong, Queen Mary Hospital.
Singapore Med J. 1995 Feb;36(1):85-7.
A 36-year-old Chinese man presented with clinical and biochemical features of renal failure. He has had recurrent attacks of acute gouty arthritis since the age of 15 years. Present radiographic features of extensive chronic tophaceous gout included soft tissue masses, calcification, and typical erosions in the hand and feet. The condition of familial juvenile gouty nephropathy is discussed. Awareness of juvenile-onset gouty arthropathy should lead to early investigation, diagnosis and appropriate management. The complication of associated nephropathy may potentially be prevented.
一名36岁的中国男性出现肾衰竭的临床和生化特征。他自15岁起就反复发作急性痛风性关节炎。目前广泛慢性痛风石性痛风的影像学特征包括软组织肿块、钙化以及手和足部典型的侵蚀。文中讨论了家族性青少年痛风性肾病的情况。认识到青少年起病的痛风性关节病应促使早期进行检查、诊断和适当治疗。相关肾病的并发症可能得以预防。
