[未经治疗的尿关节炎会导致糖尿病患者的足部溃疡和截肢]。

Q4 Medicine

Ugeskrift for laeger Pub Date : 2025-05-05 DOI:10.61409/V11240823

Mie Cecilie Hall Jensen, Bjarke Risgaard, Hanne Trap Wolf

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引用次数: 0

摘要

这个病例报告描述了一个88岁的男性严重痛风性关节炎，糖尿病和肾脏损害。20多年来，该患者反复发作痛风，并发风疹沉积，其中部分形成溃疡。足部畸形、疼痛和慢性足部溃疡严重影响了行走。尽管多次咨询和放射证据的痛风，没有降低尿酸治疗处方。最后，足部溃疡碎片的显微分析鉴定出尿酸盐晶体，证实痛风。患者开始接受别嘌呤醇治疗。

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[Untreated arthritis urica can cause foot ulcers and amputations in patients with diabetes].

This case report describes an 88-year-old male with severe tophaceous gouty arthritis, diabetes, and kidney impairment. Over 20 years, the patient experienced recurrent gout attacks and developed tophaceous deposits, some of which ulcerated. Walking was severely impaired by foot deformities, pain, and chronic foot ulcers. Despite multiple consultations and radiological evidence of gout, no urate-lowering therapy was prescribed. Finally, microscopic analysis of foot ulcer debris identified urate crystals, confirming gout. The patient was then started on allopurinol therapy.

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来源期刊

Ugeskrift for laeger Medicine-Medicine (all)

CiteScore

0.20

自引率

0.00%

发文量

345

期刊介绍： The Ulster Medical Journal is an international general medical journal with contributions on all areas of medical and surgical specialties relevant to a general medical readership. It retains a focus on material relevant to the health of the Northern Ireland population. The Honorary Editor would welcome offers of papers for publication. Prospective authors are invited to read the notice to contributors.