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患者 ,男性 ,80岁。全身多关节皮下散在结节形成 2年 ,伴右手桡侧 3指半麻木。随后左手偶现类似症状。既往曾有痛风急性发作。有肾结石史。无痛风家族史。在门诊或自用药治疗。局部查体 :双耳轮、双手指间关节、双肘、双足趾间关节等处皮下大量结节 ,米粒至鸽蛋大小 ,质偏硬 ,
Patient, male, 80 years old. The whole body multi-joint subcutaneous scattered nodules in 2 years, with the right hand radial 3 fingers half numbness. Then left his hand now similar symptoms. In the past there was an acute gout attack. A history of kidney stones. No gout family history. In outpatient or self-medication treatment. Local physical examination: double helix, double finger interphalangeal joint, double elbow, double-toe interphalangeal joints and other places a large number of subcutaneous nodules, rice to pigeon egg size, qualitative hard,