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患者男,50a。因四肢关节间歇性疼痛半年,于1996年10月来我院就诊。患者双侧趾间、腕、踝关节疼痛,尤以趾间,踝关节为甚,并伴红肿,不能行走。血验,尿酸542μmol/L,总胆固醇,甘油三酯正常,血沉亦正常,诊断为痛风。给予丙磺舒、别嘌呤醇、小苏打、遵医嘱服用。1个月后,病情基本得到控制,继续服药三个月后,两手背出现点状红色丘疹,较密,继而遍及前胸、面部、颈项,刺痒难忍,搔之不止,检查:T,P,R,BP均正常。患者在用药期间未用过任何致过敏食物及其它药物,素无过敏史。考虑为长期服药所致,嘱立即停药,给予抗过敏治疗后,症状消失。
Patient male, 50a. Intermittent pain due to limbs and joints for six months, in October 1996 to our hospital. Patients with bilateral toe, wrist, ankle pain, especially in the interphalangeal, ankle staggering, and with swelling, can not walk. Blood tests, uric acid 542μmol / L, total cholesterol, triglyceride normal, erythrocyte sedimentation rate is also normal, diagnosis of gout. Give probenecid, allopurinol, baking soda, prescribed by the doctor. After 1 month, the condition was basically controlled. After three months of continuous medication, the punctate red papules appeared on the back of both hands and became more dense. Then it covered the chest, face and neck, which was unbearable and scratched. T, P , R, BP are normal. Patients during the medication did not use any allergic foods and other drugs, no history of allergies. Considered for long-term medication, told immediate withdrawal, give anti-allergy treatment, the symptoms disappear.