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痛风是一种古老的代谢性疾病,近年来发病有增多趋势,因临床表现多样,故易误诊。临床资料痛风性肾病12例,男性11例,女性1例,年龄42～68岁。参照美国风湿病协会诊断标准:本组12例均有高尿酸血症;高尿酸尿症6例,BUN升高11例;Cr升高8例;WBC增高5例;贫血4例;发热4例;RF因子阳性1例;尿蛋白阳性11例;24小时尿蛋白排出超过500mg 10例;高胆固醇,甘油三酯8例。误诊情况分析
Gout is an ancient metabolic disease, the incidence of an increasing trend in recent years due to diverse clinical manifestations, it is easy to misdiagnosis. Clinical data Gouty disease in 12 cases, 11 males and 1 females, aged 42 to 68 years. Reference to the American College of Rheumatology diagnostic criteria: the group of 12 patients had hyperuricemia; hyperuricaemia in 6 cases, BUN increased in 11 cases; Cr increased in 8 cases; WBC increased in 5 cases; anemia in 4 cases; fever in 4 cases ; RF factor positive in 1 case; urinary protein positive in 11 cases; 24 hours urinary protein excretion exceeded 500mg in 10 cases; high cholesterol and triglyceride in 8 cases. Misdiagnosis situation analysis