1 病倒特点本例有如下临床特点:①反复关节肿痛10年,首先累及四肢小关节,以右(?)跖趾关节为首发部位,常子夜间发作,严重时伴畏寒、发热。②多次受累关节逐渐出现僵硬、畸形及功能障碍。③肾结石。④血象高、血沉快,有肾脏损害(尿蛋白++)及感染的骨髓象。⑤X线片示病变关节间隙狭窄、模糊、畸形,有的关节端骨质呈半圆形或不规则形穿凿样透亮缺损。 1, the characteristics of the disease in this case has the following clinical features: ① repeated joint swelling and pain for 10 years, first involving the limb joints, the right (?) Metatarsophalangeal joint as the starting site, nocturnal attack, often accompanied by chills, fever. ② many joints gradually appear rigid, deformity and dysfunction. ③ kidney stones. ④ high blood, rapid ESR, kidney damage (urinary protein ++) and infected bone marrow. Â’¤ X-ray film showed lesions narrowing of the joint space, blurred, deformity, and some articular bone was semi-circular or irregular wear chisel translucent defect.