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近年来,痛风发病率明显增高,在初诊时易与风湿及类风湿性关节炎等病混淆,常常出现误诊或漏诊[1]。尤其是发生在掌指关节处的痛风性腱鞘炎发生率更低,更容易出现误诊。笔者于2015-05诊治1例痛风性狭窄性腱鞘炎,报道如下。1病例报道患者,男,30岁。主因右中指掌指关节处疼痛伴伸直功能受限1年加重半年入院。查体:双手无畸形,肌肉饱满,无萎缩,右手中指掌指关节处无红肿,可触及硬结,压痛,扳机指,可被
In recent years, the incidence of gout increased significantly, easily confused with rheumatism and rheumatoid arthritis and other diseases in the initial diagnosis, often misdiagnosis or missed diagnosis [1]. Especially in the metacarpophalangeal tenosynovitis tenosynovitis incidence is lower, more prone to misdiagnosis. The author in 2015-05 diagnosis and treatment of a case of gout stenosing tenosynovitis, reported as follows. 1 case reported patients, male, 30 years old. Mainly because of the right middle finger metacarpophalangeal joint pain with straightness limited 1 year exacerbation of six months admission. Physical examination: hands without deformity, muscle full, no atrophy, no swelling in the middle finger of the middle finger of the middle finger, palpable induration, tenderness, trigger finger, can be