痛风:一个古老的疾病在新视角——一个评论。

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Ragab G, Elshahaly M, Bardin T

痛风:一个古老的疾病在新视角——一个评论。

J副词研究》2017年9月,8 (5):495 - 511。doi: 10.1016 / j.jare.2017.04.008。2017年5月10日Epub。

PubMed ID

28748116 (在PubMed

]

文摘

痛风是一个风景如画的尿酸扰动。它是最理解和描述类型的关节炎。它的流行病学研究。新见解高尿酸血和痛风性关节炎的病理生理学;急性和慢性疾病的允许一个更好的理解。遗传倾向的作用越来越明显。痛风的临床情况分为无症状高尿酸血、急性痛风性关节炎,临界区,和慢性tophaceous痛风。诊断是基于实验室和辐射特性。诊断的金标准是密歇根州立大学的识别特征晶体的滑液使用偏振光显微镜。成像方法包括传统的射线照相法、超声常规CT双能CT、磁共振成像、核显像,正电子发射断层扫描。 There is remarkable progress in the application of ultrasonography and Dual-Energy CT which is bound to influence the diagnosis, staging, follow-up, and clinical research in the field. Management of gout includes management of flares, chronic gout and prevention of flares, as well as management of comorbidities. Newer drugs in the pharmacological armamentarium are proving successful and supplement older ones. Other important points in its management include patient education, diet and life style changes, as well as cessation of hyperuricemic drugs.

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