痛风与“假性痛风”。关节炎症状何时由晶体沉积引起？

Gout and 'pseudogout'. When are arthritic symptoms caused by crystal deposition?

作者信息

Beutler A, Schumacher H R

机构信息

Rheumatology Section, University of Pennsylvania School of Medicine, Philadelphia.

出版信息

Postgrad Med. 1994 Feb 1;95(2):103-6, 109, 113-6 passim.

PMID:8309855

Abstract

The proper diagnosis of gout and pseudogout (ie, calcium pyrophosphate dihydrate crystal deposition disease) leads to correct treatment. The two disorders can be easily confused and misdiagnosed in certain situations. Thus, in every case, synovial fluid aspiration and microscopic synovial fluid analysis under compensated polarized light should be done to confirm the suspicion of crystal-induced arthropathy. Underlying diseases should always be sought, because many are treatable.

摘要

痛风和假性痛风（即二水焦磷酸钙晶体沉积病）的正确诊断可带来正确的治疗。在某些情况下，这两种病症很容易混淆并被误诊。因此，对于每一个病例，都应进行滑液抽吸，并在补偿偏振光下进行滑液显微镜分析，以确认对晶体性关节病的怀疑。应始终寻找潜在疾病，因为许多潜在疾病是可治疗的。