Donegan C F, Berman P, Doherty M
Department of Health Care of the Elderly, City Hospital, Nottingham, United Kingdom.
Ann Rheum Dis. 1993 Apr;52(4):308-9. doi: 10.1136/ard.52.4.308.
An 85 year old man with a longstanding history of non-tophaceous gout developed a single large tophus, unassociated with inflammation, on his paretic leg over a six week period following an acute hemiplegia. The rapidity of tophus formation, its localisation to the paretic limb, and the apparent blunting of the acute inflammatory response represent a previously unreported interaction between gout and neurological deficit.
一位患有慢性非痛风石性痛风的85岁男性,在急性偏瘫后的六周内,其瘫痪侧腿部出现了一个单一的大痛风石,且无炎症表现。痛风石形成的速度、其在瘫痪肢体的定位以及急性炎症反应明显减弱,代表了痛风与神经功能缺损之间一种此前未报道过的相互作用。