Update in Gout and Other Microcrystalline Diseases:What is New or Controversial?
【摘要】：正A.Gout Ⅰ . How accurate is diagnosis? ACR gout criteria are still "preliminary"since 1977. ACR criteria for RA can misdiagnose gout. Crystal diagnosis is definite,but how accurate is it? Errors are common Even rheumatologists often do not examine SF for crystals Serum mate is not diagnostic. Uric acid levels may be low during attacks. Inflammation itself may lower serum uric acid Ⅱ . Is it important to look for causes of hyperuricemia? Under-excretion is by far most common. Are there clues to a genetic basis?