van der Klooster J M, Peters R, Burgmans J P, Grootendorst A F
Department of Internal Medicine, St. Clara Ziekenhuis, Rotterdam, The Netherlands.
Neth J Med. 1998 Aug;53(2):69-75. doi: 10.1016/s0300-2977(98)00026-6.
Gout in the elderly seems to represent a special subgroup. The presentation is often atypical and drug treatment poses special difficulties. We present two elderly patients with large subcutaneous tophi leading to grotesque deformities. Their clinical features, risk factors, diagnosis and treatment are discussed. Although the appearance and radiographic changes caused by tophi are characteristic, the definitive diagnosis of tophaceous gout is made by aspiration and crystal analysis, as is illustrated by colour photographs.
老年痛风似乎代表了一个特殊的亚组。其表现往往不典型，药物治疗也存在特殊困难。我们介绍两名患有巨大皮下痛风石并导致奇形怪状畸形的老年患者。讨论了他们的临床特征、危险因素、诊断和治疗。尽管痛风石引起的外观和影像学改变具有特征性，但痛风石性痛风的确诊仍需通过抽吸和晶体分析，彩色照片对此进行了说明。
