痛风性关节炎一般为单发,双侧多发者罕见。最近我院遇到一例广泛发病的慢性关节炎的病例,报告如下。患者。男、59岁,四肢关节肿痛反复发作七年,颜面及双下肢浮肿五年、呕吐一个月为主诉收住本院。查体:T:36.5℃、BP:22.7/10.7kpa,贫血貌,四肢关节肿胀,活功受限,双腕部、指间关节、肘关节及双踝部的可扪及大小不等,直径在0.5cm～1.5 Gouty arthritis is usually single, multiple bilateral are rare. Recently, our hospital encountered a case of a wide range of chronic arthritis, the report is as follows. patient. Male, 59 years old, with recurrent joint swelling and pain of limbs for seven years, face and lower extremity edema for five years, vomiting a month mainly admitted to the hospital. Physical examination: T: 36.5 ℃, BP: 22.7 / 10.7kpa, anemic appearance, swelling of limbs and joints, limitation of living activity, palpable size of double wrist, interphalangeal joint, elbow joint and double ankle, diameter In 0.5cm ~ 1.5