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痛风是一种嘌呤代谢紊乱所致的疾病,其临床特征为高尿酸血症,伴痛风性急性关节炎反复发作,痛风面沉积等症状。痛风为我国少见的疾病,容易与急性风湿性关节炎相混淆,所以容易误诊,现将原发性痛风一例报告如下。 患者:任某某。男性37岁。病案号:6241。因右足母趾急剧疼痛、红肿、突发于夜间。曾于市内大医院多次求医,诊断:右足母趾感染、风湿性关节炎、腱鞘炎、风湿性肌膜炎等,于我院多次住院。 查体:体型发胖,BP18/12kpa,p75次/分,R18次/分,T36.4℃。全身无皮下结节,右足母趾关节红肿,呈暗红色,局部温度升高,
Gout is a disorder caused by purine metabolism disorder, its clinical features of hyperuricemia, recurrent gouty arthritis, gout surface deposition and other symptoms. Gout is a rare disease in China, easy to be confused with acute rheumatoid arthritis, it is easy to misdiagnosis, now a case report of primary gout is as follows. Patients: Ren Moumou. Male 37 years old. Case number: 6241. Due to rapid pain in right foot toe, swelling, sudden in the night. Once in the city hospital for medical advice, diagnosis: right foot toe infection, rheumatoid arthritis, tenosynovitis, rheumatic mycositis, etc., in our hospital many times hospitalized. Physical examination: body weight, BP18 / 12kpa, p75 times / min, R18 times / min, T36.4 ℃. The whole body without subcutaneous nodules, right foot toe joint swelling, dark red, local temperature,