The Analysis of 29 Misdiagnosis of Primary Gout

LIN Xiang

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The Analysis of 29 Misdiagnosis of Primary Gout

更新时间：2021-08-20

- The Analysis of 29 Misdiagnosis of Primary Gout
- Health Medicine Research and Practice Issue 1, Pages: 35-36(2008)
- 作者机构：
  
  华南师范大学医院,广州,510631
- 作者简介：
- 基金信息：
- DOI：
  CLC： R589.7
- Published：2008，
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[1]林湘.29例原发性痛风误诊分析[J].保健医学研究与实践,2008(01):35-36+63.

LIN Xiang. The Analysis of 29 Misdiagnosis of Primary Gout. [J]. Health Medicine Research and Practice (1):35-36(2008)
[1]林湘.29例原发性痛风误诊分析[J].保健医学研究与实践,2008(01):35-36+63. DOI：

LIN Xiang. The Analysis of 29 Misdiagnosis of Primary Gout. [J]. Health Medicine Research and Practice (1):35-36(2008) DOI：

摘要

目的通过对痛风误诊疾病的分析

提高对痛风的诊断率。方法分析29例痛风误诊疾病的临床表现及其误诊原因。结果误诊为类风湿性关节炎17例

占58.62%

误诊为风湿性关节炎6例

占20.69%

其余为肾炎、肾功能不全、蜂窝组织炎等。结论在临床工作中应注意对痛风的鉴别诊断

详细询问病史

认真全面体查

必要时查血尿酸及拍受累关节的X线片是防止误诊的关键。

Abstract

Objective To improve the accurate rate of gout diagnosis by the analysis of misdiagnosis of primary gout.Method Analyze the clinic performance and misdiagnosis reasons of the 29 misdiagnosis of primary gout.Results In the 29 cases

there are 17 cases in which the primary gout is misdiagnosed to be rheumatoid arthritis

taking up 58.62%.And there are 6 cases misdiagnosing to be rheumatic arthritis

taking up 20.69%.Other cases are misdiagnosed to be nephritis

renal insufficiency

cellulites and erysipelas.Conclusion The distinguish of primary gout should be paid more attention in clinic.The key to prevent misdiagnosis is to enquire medical record in details

do careful physicals

and check the Uric Acid and the involved joints on X-ray radiographs when needed.

关键词

原发性痛风误诊类风湿性关节炎风湿性关节炎

Keywords

Primary goutMisdiagnosisRheumatoid arthritisRheumatic arthritis

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