对痛风性关节炎误诊为风湿性关节炎1例分析如下。1病历摘要男,45岁。因反复四肢关节肿痛6 a、再发0.5 a入院。患者于6 a前无明显诱因出现双侧跖趾关节红肿,疼痛,活动障碍,并逐渐出现双踝关节、双肘关节双掌指关节交替反复红肿、疼痛。于当地医院就诊,检查血、尿常规正常,抗“O A case of rheumatoid arthritis misdiagnosed as gouty arthritis is as follows. 1 medical record summary male, 45 years old. Due to repeated limbs joint swelling and pain 6 a, recurrence 0.5 a admission. There was no obvious predisposition of patients with bilateral metatarsophalangeal joint swelling, pain, movement disorders, and gradually appeared in double ankle joint, double-elbow joint double-finger knuckles alternately repeated swelling and pain. In the local hospital for treatment, check blood, urine routine normal, anti-"O