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首页> 外文期刊>BMJ: British medical journal >10-MINUTE CONSULTATION Gout
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10-MINUTE CONSULTATION Gout

机译：10分钟的咨询痛风

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摘要

An 84 year old woman presents with pain, redness, and swelling of the left great toe, which makes it difficult for her to walk. She is concerned about possible gout. What you should cover Acute gout usually presents as painful inflammation of a single joint. Podagra (inflammation of the first metatar-sophalangeal joint) is the most common presentation. Less common presentations include tenosynovitis, bursitis, entrapment neuropathies, and axial gout with back, neck, or radicular pain. Gouty arthritis is caused by deposits of uric acid crystals in joints. Acute attacks may be triggered by local changes in body temperature or pH; trauma; or articular dehydration. Gout can progress through four clinical stages: asymptomatic hyperuricaemia, acute gout with painful arthropathy, interval gout, and chronic tophaceous gout. The presence of hyperuricaemia alone does not necessarily mean that the patient has gout.
机译：一个84岁的女人礼物,疼痛,红肿,和左拇趾肿胀,使她很难行走。关于痛风的可能性。痛风通常表现为痛苦的炎症一个联合。第一个metatar-sophalangeal联合)是最常见的表现。包括腱鞘炎、滑囊炎,截留神经病变和轴向痛风,颈部,或神经根疼痛。尿酸结晶在关节的沉积。袭击可能是由当地的身体的变化温度或pH值;脱水。临床阶段:无症状高尿酸血,急性痛风与痛苦的关节病,间隔痛风和慢性tophaceous痛风。高尿酸血的孤独并不一定意味着病人有痛风。

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