最近审阅: 5 十一月 2020
最近更新: 27 二月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 突发严重疼痛
  • 关节僵硬
  • 足关节脱位
  • 少关节受累
  • 肿胀和关节渗出
  • 触痛
  • 痛风石

其他诊断因素

  • 红斑和皮温增高
  • 痛风家族史

危险因素

  • 老年
  • 男性
  • 绝经后状态
  • 肉、海鲜、酒精的摄入量
  • 使用利尿剂
  • 使用环孢素(环孢菌素)或他克莫司
  • 使用吡嗪酰胺
  • 使用阿司匹林
  • 遗传易感性
  • 细胞高度更新状态
  • 肥胖和胰岛素抵抗
  • 高血压
  • 肾功能不全
  • 糖尿病
  • 高脂血症

诊断性检查

首要检查

  • 关节穿刺术结合滑液分析
更多 首要检查

需考虑的检查

  • 尿酸水平
  • 受累关节 X 线检查
  • 超声
更多 需考虑的检查

治疗流程

撰稿人

Fadi Badlissi

Assistant Professor

Harvard Medical School

Attending Physician

Director of the Musculoskeletal Medicine Unit

Department of Orthopedics & Division of Rheumatology

Beth Israel Deaconess Medical Center

Boston

MA

利益声明

FB declares that he has no competing interests.

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Professor of Medicine

VA Medical Center

Philadelphia

PA

利益声明

HRS has been a consultant for a number of pharmaceutical companies that produce drugs that can be used for the treatment of gout. Some companies have supplied HRS with funding. HRS is an author of a number of references cited in this monograph.

Associate Director of Teaching and Honorary Senior Lecturer in Rheumatology

Academic Rheumatology Group

Faculty of Medicine

University of Sheffield

Sheffield

UK

利益声明

AA declares that he has no competing interests.

Professor of Primary Care Research

Warwick Medical School

Coventry

UK

利益声明

MU declares that he has no competing interests.

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