报道1例少见的以痛风样症状起病为主要表现,误诊为痛风的、不典型强直性脊柱炎病例。结合临床资料及文献复习探讨误诊原因。不典型强直性脊柱炎早期可以表现为痛风样症状,而无炎症性腰背僵痛等强直性脊柱炎表现,易被误诊。对于年青患者特别是30岁以下的患者,如果以痛风样症状起病,切不要忘记和强直性脊柱炎作鉴别诊断。 One case of rare gout-like symptoms reported as the main manifestation of misdiagnosed as gout, atypical ankylosing spondylitis cases. Combined with clinical data and literature review to explore the causes of misdiagnosis. Ankylosing spondylitis can be manifested as early gouty symptoms, but no inflammatory back pain and other ankylosing spondylitis performance, easily misdiagnosed. For young patients, especially those under the age of 30, if the onset of gout-like symptoms, do not forget to make an ankylosing spondylitis and ankylosing spondylitis.