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几个月前,一位年近七旬的老者因患糖尿病及高血脂,缠绵不愈近二十年,来我院就诊,他叙述了一段关节痛的病史:十年前的某日午夜,他突然被右拇跖关节剧痛惊醒,疼痛如虫咬或撕裂般,连被褥的接触或床铺的震动也使加剧。受累的关节红肿,觉得怕冷发热,他彻夜辗转难忍。虽然注射青霉素及退热解痛药,仍不缓解,然而三天后迅速消退。此后约每隔一年左右,复有类似发作,不发作时宛如常人。近五
A few months ago, a veteran of nearly seventy years came to our hospital due to diabetes and hyperlipidemia for nearly two decades. He described a history of arthralgia: midnight one day ten years ago, Suddenly he was awakened by a sharp pain in his right thumb metatarsophalangeal joint. The pain was like insect bites or tears, and even the contact with the bedding or the vibration of the bed was aggravated. Involved in joint swelling, feeling cold and fever, he was unbearable all night. Although injection of penicillin and antipyretics relieve pain, still not alleviate, but quickly subsided after three days. About every other year or so, after a similar attack, no attack is like an ordinary person. Nearly five